Endogenous fungal endophthalmitis after cardiac surgery.
The authors present a single-patient interventional case report of endogenous fungal endophthalmitis (EFE) in a patient with an implanted prosthetic device. A 74-year-old man underwent a double coronary artery bypass graft with a bioprosthetic pericardial valve and transvenous dual chamber pacemaker. Four months later, he presented with EFE. Despite aggressive local and systemic antifungal therapy, the patient died of septic shock due to a fungally infected pacemaker. Successful management of post-cardiac surgery EFE requires aggressive local and systemic antifungal therapy, but without surgical removal of implanted thoracic hardware these modalities alone may be insufficient for a cure.
Division of Ophthalmology, Maimonides Medical Center, Brooklyn, New York, USA. eyesite@aol.com
Norman A
NA
Saffra
Rajen U
RU
Desai
Carly J
CJ
Seidman
Edward K
EK
Chapnick
D000368:Aged; D001228:Aspergillosis; D001232:Aspergillus fumigatus; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D009877:Endophthalmitis / Q000382:microbiology*; D004866:Equipment Contamination; D017809:Fatal Outcome; D006350:Heart Valve Prosthesis / Q000382:microbiology*; D006801:Humans; D008297:Male