title: Candida albicans endophthalmitis after extracorporeal shock wave lithotripsy in a patient with liver cirrhosis.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Himeji Red Cross Hospital, Himeji, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Toshikuni
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Ujike
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Yanagawa
authors.forename: Tatsuhito
authors.initials: T
authors.lastname: Suga
authors.forename: Toshinari
authors.initials: T
authors.lastname: Shimizu
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kusuda
authors.forename: Masayuki
authors.initials: M
authors.lastname: Okamoto
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Ogawa
authors.forename: Shiro
authors.initials: S
authors.lastname: Yuasa
mesh_terms: 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*