Candida albicans endophthalmitis after extracorporeal shock wave lithotripsy in a patient with liver cirrhosis.
A 69-year-old man was referred to our hospital because of hepatic failure after extracorporeal shock wave lithotripsy. The diagnosis of urinary tract infection and fungemia due to Candida albicans associated with decompensated liver cirrhosis and renal failure was made. Bilateral endogenous endophthalmitis developed during hospitalization. Candidemia, endophthalmitis and hepatorenal failure improved with intensive therapy. After discharge, endophthalmitis of the left eye relapsed and vitrectomy was performed. Clinicians should be aware that fungemia complicated by endophthalmitis can be caused by extracorporeal shock wave lithotripsy. There might be a risk of such complications among patients with liver cirrhosis in an immunocompromised state.
Toshikuni
Nobuyuki
N
Department of Internal Medicine, Himeji Red Cross Hospital, Himeji, Japan.
Ujike
Kazuhiro
K
Yanagawa
Toshihiro
T
Suga
Tatsuhito
T
Shimizu
Toshinari
T
Kusuda
Yuji
Y
Okamoto
Masayuki
M
Ogawa
Takayoshi
T
Yuasa
Shiro
S
D000368:Aged; D002177:Candidiasis / Q000209:etiology*; D009877:Endophthalmitis / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D008103:Liver Cirrhosis / Q000150:complications*; D017093:Liver Failure / Q000209:etiology; D008297:Male; D009887:Ophthalmoscopy; D012008:Recurrence; D051437:Renal Insufficiency / Q000209:etiology; D014514:Ureteral Calculi / Q000150:complications* / Q000628:therapy*