A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space
The aim of this report was to describe a case of fungal endophthalmitis possibly caused by Paecilomyces lilacinus(PL) penetrating the sclera from a conjunctival abscess. This case study involved an 83-year-old male patient with a past history of scleral buckling, subtenon steroid injection, and cata...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2020-07-01
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| Series: | Case Reports in Ophthalmology |
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| Online Access: | https://www.karger.com/Article/FullText/508389 |
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| author | Akiko Tara Takatoshi Kobayashi Ryohsuke Kohmoto Masanori Fukumoto Takaki Sato Teruyo Kida Yukimasa Ooi Tsunehiko Ikeda |
| author_facet | Akiko Tara Takatoshi Kobayashi Ryohsuke Kohmoto Masanori Fukumoto Takaki Sato Teruyo Kida Yukimasa Ooi Tsunehiko Ikeda |
| author_sort | Akiko Tara |
| collection | DOAJ |
| description | The aim of this report was to describe a case of fungal endophthalmitis possibly caused by Paecilomyces lilacinus(PL) penetrating the sclera from a conjunctival abscess. This case study involved an 83-year-old male patient with a past history of scleral buckling, subtenon steroid injection, and cataract surgery. The vitreous opacity and a conjunctival abscess appeared in the inferonasal quadrant of his right eye at 5 months after cataract surgery. PL was isolated from a cultured conjunctival discharge specimen obtained from the patient’s right eye. Although the treatment with antifungal agents relieved the conjunctival abscess, the vitreous opacity became worse. Thus, vitrectomy was subsequently performed. Intraoperative findings revealed severe vitreous opacity in the inferonasal quadrant, adjacent to the sclera at the site of the conjunctival abscess. Our findings indicate that fungal endophthalmitis appeared to have been caused by PL in the conjunctival abscess that may have penetrated the sclera and spread into the intraocular space. |
| first_indexed | 2024-12-12T16:08:58Z |
| format | Article |
| id | doaj.art-6aacbac963a54aceb3cd44f863332072 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-12T16:08:58Z |
| publishDate | 2020-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-6aacbac963a54aceb3cd44f8633320722022-12-22T00:19:14ZengKarger PublishersCase Reports in Ophthalmology1663-26992020-07-0111225626210.1159/000508389508389A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular SpaceAkiko TaraTakatoshi KobayashiRyohsuke KohmotoMasanori FukumotoTakaki SatoTeruyo KidaYukimasa OoiTsunehiko IkedaThe aim of this report was to describe a case of fungal endophthalmitis possibly caused by Paecilomyces lilacinus(PL) penetrating the sclera from a conjunctival abscess. This case study involved an 83-year-old male patient with a past history of scleral buckling, subtenon steroid injection, and cataract surgery. The vitreous opacity and a conjunctival abscess appeared in the inferonasal quadrant of his right eye at 5 months after cataract surgery. PL was isolated from a cultured conjunctival discharge specimen obtained from the patient’s right eye. Although the treatment with antifungal agents relieved the conjunctival abscess, the vitreous opacity became worse. Thus, vitrectomy was subsequently performed. Intraoperative findings revealed severe vitreous opacity in the inferonasal quadrant, adjacent to the sclera at the site of the conjunctival abscess. Our findings indicate that fungal endophthalmitis appeared to have been caused by PL in the conjunctival abscess that may have penetrated the sclera and spread into the intraocular space.https://www.karger.com/Article/FullText/508389fungal endophthalmitispaecilomyces lilacinusconjunctival abscessvitrectomy |
| spellingShingle | Akiko Tara Takatoshi Kobayashi Ryohsuke Kohmoto Masanori Fukumoto Takaki Sato Teruyo Kida Yukimasa Ooi Tsunehiko Ikeda A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space Case Reports in Ophthalmology fungal endophthalmitis paecilomyces lilacinus conjunctival abscess vitrectomy |
| title | A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space |
| title_full | A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space |
| title_fullStr | A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space |
| title_full_unstemmed | A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space |
| title_short | A Case of Fungal Endophthalmitis Caused by Paecilomyces lilacinus that Might Have Spread from the Sclera into the Intraocular Space |
| title_sort | case of fungal endophthalmitis caused by paecilomyces lilacinus that might have spread from the sclera into the intraocular space |
| topic | fungal endophthalmitis paecilomyces lilacinus conjunctival abscess vitrectomy |
| url | https://www.karger.com/Article/FullText/508389 |
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