title: Apophysomyces elegans: a novel cause of endogenous endophthalmitis in an immunocompetent individual.
abstract: A 20-year-old male presented with sudden onset redness, pain, and decreased vision in his left eye. Best-corrected visual acuity in the left eye was noted to be perception of light positive with inaccurate projection. On clinical examination, he was diagnosed to have left eye endogenous endophthalmitis. Smear and culture of vitreous biopsy were positive for Apophysomyces elegans, a fungus known to cause extensive soft tissue infections systemically characteristically in immunocompetent individual. The patient was treated aggressively with topical, systemic, and intravitreal antifungals but had a poor visual and anatomical outcome. This is a first known report of endogenous endophthalmitis due to Apophysomyces elegans.
authors.affiliation: Smt. Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, India, vivekoperates@yahoo.co.in.
authors.forename: Vivek Pravin
authors.initials: VP
authors.lastname: Dave
authors.forename: Savitri
authors.initials: S
authors.lastname: Sharma
authors.forename: Rohit
authors.initials: R
authors.lastname: Yogi
authors.forename: Swapna
authors.initials: S
authors.lastname: Reddy
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D009877:Endophthalmitis / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000382:microbiology*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D009091:Mucormycosis / Q000382:microbiology*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000935:Antifungal Agents