title: Endogenous Aspergillus versicolor endophthalmitis in an immuno-competent HIV-positive patient.
abstract: A 25-year-old white, HIV-positive, immuno-competent man was referred to us because of a progressive blurred vision in his right eye. Clinical characteristics were suggestive for an unilateral fungal endophthalmitis, and thereby fluconazole firstly, followed by conventional amphotericin B were intravenously administered, without any significant improvement. Thus, a pars plana vitrectomy was performed. Aspergillus versicolor was isolated from the cultures of the vitreous sample and intravenous liposomal amphotericin B was administered. An increase of visual acuity together with a reduction of vitreous inflammation occurred. This case of ours represents the first report describing an endogenous endophthalmitis induced by Aspergillus versicolor.
authors.affiliation: Department of Ophthalmology, University of Ferrara, Ferrara, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Perri
authors.forename: Claudio
authors.initials: C
authors.lastname: Campa
authors.forename: Carlo
authors.initials: C
authors.lastname: Incorvaia
authors.forename: Francesco
authors.initials: F
authors.lastname: Parmeggiani
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Lamberti
authors.forename: Ciro
authors.initials: C
authors.lastname: Costagliola
authors.forename: Adolfo
authors.initials: A
authors.lastname: Sebastiani
mesh_terms: D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis / Q000382:microbiology; D001230:Aspergillus / Q000302:isolation & purification*; D009877:Endophthalmitis / Q000175:diagnosis* / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000382:microbiology; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D014792:Visual Acuity; D014821:Vitrectomy