[Bilateral endogenous ophthalmitis due to Candida glabrata after complicated bariatric surgery].
METHODS
A 43 year-old female presented with decreased visual acuity in the right eye. «Snowball-like» retinal lesions were found in both eyes on examination. Due to a lack of improvement with intravitreal antifungal empirical treatment, vitreous culture was performed and Candida glabrata was isolated. The patient then received intravitreal amphotericin B, as well as systemic treatment with caspofungin and amphotericin B lipid complex.


CONCLUSIONS
Endogenous fungal endophthalmitis is a sight-threatening condition. There are few reports of Candida glabrata endogenous endophthalmitis. Treatment regimens for Candida endophthalmitis include combinations of systemic and/or intravitreal antifungals, as well as vitrectomy.
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Electronic address: orionpizango@gmail.com.
O
O
Pizango
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
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E
Tejeda
Servicio de Oftalmología, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú
M
M
Buendia
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
S
S
Lujan
D000328:Adult; D041221:Candida glabrata; D002177:Candidiasis / Q000209:etiology* / Q000473:pathology; D009877:Endophthalmitis / Q000382:microbiology* / Q000473:pathology; D015821:Eye Infections, Fungal / Q000209:etiology* / Q000473:pathology; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans
Bariatric Surgery; Candida glabrata; Cirugía Bariátrica; Endoftalmitis infecciosa; Infectious endophthalmitis; Intravitreal Injections; Inyecciones Intravítreas; Vitrectomy; Vitrectomía