title: [Endogenous Candida dubliniensis endophtalmitis. First case in Mexico].
abstract: BACKGROUND
  Candida endophthalmitis is related to immunosuppression state, intravenous catheters, invasive procedures and parenteral feeding. It is estimated that between 2% and 10% of endophthalmitis are endogenous, within fungal etiology the most frequently isolated microorganism is Candida albicans. The infection by C. dubliniensis is reported in less than 2 % of the cases of infection by Candida at systemic level and few reported cases of endophthalmitis. The clinical presentation is poor vision , vitritis, cottony deposits, chorioretinitis, and necrosis. The confirmatory diagnosis must be made with vitreous culture and the treatment is based on combination of vitrectomy and intravitreal antifungal.
  
  
  METHODS
  It is reported a case of a patient with enterocutaneous fistula, long hospital stay with parental nutrition that cause endophthalmitis without immunosuppression.
  
  
  CONCLUSIONS
  Endogenous endophthalmitis by C. dubliniensis is barely documented in the literature. Candida endophthalmitis should always be considered in patients with risk factors, in order to provide timely diagnosis and appropriate management, yet the prognosis in these patients is poor for function and organ preservation and for life from complications involving these patients from associated pathologies.
authors: Médico residente, Hospital de Oftalmología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México. gittinsothon@hotmail.com.
authors: Luis Othon
authors: LO
authors: Gittins-Núñez
authors: Fabiola
authors: F
authors: Hernández-Núñez
mesh_terms: D002177:Candidiasis / Q000175:diagnosis* / Q000209:etiology; D002179:Candidiasis, Cutaneous / Q000150:complications; D009877:Endophthalmitis / Q000175:diagnosis* / Q000209:etiology; D015821:Eye Infections, Fungal / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005533:Foot Dermatoses / Q000150:complications; D006801:Humans; D008800:Mexico; D008875:Middle Aged; D012307:Risk Factors
keywords: Antifungal; Candida dubliniensis; Endophthalmitis