title: A rare case of endogenous Aspergillus conicus endophthalmitis in an immunocompromised patient.
abstract: BACKGROUND
  The purpose of this study was to report the case of a patient with bilateral panuveitis who was found to have a rarely reported intraocular fungus, Aspergillus conicus. A 40-year-old man presented with gradual vision loss in both eyes. He had bilateral anterior uveitis, granulomatous vitritis with a preretinal granuloma in the right eye, and nongranulomatous vitritis with two quadrants of chorioretinal scarring in the left.
  
  
  RESULTS
  Serological testing revealed a new diagnosis of human immunodeficiency virus as well as positive rapid plasma reagin and fluorescent treponemal antibody. Polymerase chain reaction (PCR) testing of the aqueous humor from the right eye identified A. conicus. Due to the indolent course of the endogenous fungal infection, the patient was treated with prednisolone acetate 1% eye drops, oral voriconazole, and highly active antiretroviral therapy. More than 1 year later, his vision remained 20/20 in both eyes without any episodes of recurrent inflammation.
  
  
  CONCLUSIONS
  PCR testing helped identify a rare intraocular infection in an immunocompromised patient. In this case, A. conicus behaved less aggressively than other species of Aspergillus implicated in intraocular infection.
authors.affiliation: Laboratory of Immunology, National Eye Institute, National Institutes of Health, 10 Center Dr, 10/10N112, Bethesda, MD, 20892, USA. senh@nei.nih.gov.
authors.forename: Wendy M
authors.initials: WM
authors.lastname: Smith
authors.forename: Gary
authors.initials: G
authors.lastname: Fahle
authors.forename: Robert B
authors.initials: RB
authors.lastname: Nussenblatt
authors.forename: Hatice Nida
authors.initials: HN
authors.lastname: Sen