FUSARIUM SOLANI SUBRETINAL ABSCESS IN A PATIENT WITH ACUTE MYELOID LEUKEMIA.
OBJECTIVE
To report on a case of Fusarium solani subretinal abscess in a patient with acute myeloid leukemia treated with an allogenic bone marrow transplant.


METHODS
A 47-year-old male with a history of acute myeloid leukemia with intermediate cytogenetic risk was admitted in our hospital. The disease relapsed after two cycles of chemotherapy. He was then treated with an allogenic bone marrow transplant, with busulfan, cyclophosphamide, and thymoglobulin. One week after the procedure, a sepsis of unknown origin in neutropenia occurred. Blood cultures and sputum were negative for bacteria and fungi. At the eighth week after the procedure, the patient had acute vision loss of the right eye. Funduscopy in the right eye revealed an inferior temporal yellowish white elevated lesion of approximately 10 disk areas and superficial perifoveal and perilesional hemorrhages.


RESULTS
Vitrectomy was performed and samples from the vitreous and the subretinal abscess material were sent for analysis. Vitreous and subretinal specimens grew colonies of a fungus morphologically consistent with F. solani.


CONCLUSIONS
Fusarium solani should be included in the differential diagnosis of subretinal abscesses.
Department of Ophthalmology, Hospital Universitario Austral, Ciudad Autónoma de Buenos Aires, Argentina.|Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Ariel
A
Schlaen
Department of Ophthalmology, Hospital Universitario Austral, Ciudad Autónoma de Buenos Aires, Argentina.
Mariana
M
Ingolotti
Department of Ophthalmology, Hospital Universitario Austral, Ciudad Autónoma de Buenos Aires, Argentina.
Pablo
P
Lorenzon
Department of Ophthalmology, Hospital Universitario Austral, Ciudad Autónoma de Buenos Aires, Argentina.
Jorge
J
Mancini
Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Cristobal
C
Couto
Departments of Infectious Diseases.
Maria
M
Casanova
Hematology.
Gustavo
G
Kusminsky
Internal Medicine, and.
Matias
M
Tisi Baña
Hematology.
Gloria
G
Pineda
Hematology.
Alejandra
A
Rima
Department of Ophthalmology, Hospital Universitario Austral, Ciudad Autónoma de Buenos Aires, Argentina.
Mario
M
Saravia
D000038:Abscess / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000382:microbiology*; D005670:Fusarium / Q000302:isolation & purification*; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000382:microbiology*