An unusual case of fungal chorioretinitis in an immunocompetent individual.
OBJECTIVE
To describe a case of fungal chorioretinitis in a healthy individual.


METHODS
Case report.


RESULTS
A 74-year-old immunocompetent man presented with peripheral chorioretinitis with hemorrhage in the superonasal quadrant. A retinal biopsy was performed. PAS and Gomori methenamine silver stain disclosed fungal structures identified as broad nonseptate hyphae with right-angle branches, probably belonging to the Zygomycete class. A systemic workup was initiated to seek the source of the infection with normal findings. The patient was successfully treated with intravitreous and intravenous amphotericine B.


CONCLUSIONS
Nontraumatic fungal chorioretinitis can present in immunocompetent patients.
Fonollosa
Alex
A
Hospital Vall d'Hebron, Barcelona, Spain. 36427afc@comb.es
Segura
Antonio
A
Ruiz-Marcellan
Carmen
C
Diaz
Jesus
J
Garcia-Arumi
Jose
J
D000368:Aged; D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D002825:Chorioretinitis / Q000382:microbiology*; D006801:Humans; D007121:Immunocompetence; D007267:Injections; D007275:Injections, Intravenous; D008297:Male; D016896:Treatment Outcome; D014822:Vitreous Body; D020096:Zygomycosis / Q000188:drug therapy / Q000276:immunology*
D000935:Antifungal Agents; D000666:Amphotericin B