Korean J Intern Med.
1997 Jun;12(2):242-244.
Hematogenous endophthalmitis in a patient with candidemia
- Affiliations
-
- 1Department of Internal Medicine and Ophthalmology, Yonsei University College of
Medicine, Seoul, Korea.
Abstract
-
Candidiasis has emerged as the most common opportunistic fungal disease over
recent decades owing to the progressively increasing use of antibiotics,
immunosuppressive and cytotoxic drugs, indwelling foreign bodies and organ
transplantation. Hematogenous candida endophthalmitis, which has a
characteristic finding of single or multiple fluffy white cotton ball-like
chorioretinal lesions often extending into vitreous, is the most fulminant
manifestation of systemic candidiasis and may result in blindness. These ocular
lesions can be easily recognized on funduscopic examination and should be
serially looked for in all patients with known and suspected systemic
candidiasis. We report hematogenous candida endophthalmitis in a patient of
systemic candidiasis and, to our knowledge, it is the first reported case in our
country.