A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19

A 62-year-old female diabetic recovered from COVID-19 pneumonia after receiving a prolonged course of steroids. She presented with a clinical picture of left-eye panuveitis with white cotton ball chorioretinal lesions and RAPD suggesting an optic neuropathy (VA HM). Diagnostic vitrectomy was perform...

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Detalles Bibliográficos
Autores principales: Kaluarachchi, Sanjeewa, Abeykoon, Muditha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Expedited Publications, Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8917599/
https://www.ncbi.nlm.nih.gov/pubmed/34937270
http://dx.doi.org/10.4103/ijo.IJO_2454_21
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author Kaluarachchi, Sanjeewa
Abeykoon, Muditha
author_facet Kaluarachchi, Sanjeewa
Abeykoon, Muditha
author_sort Kaluarachchi, Sanjeewa
collection PubMed
description A 62-year-old female diabetic recovered from COVID-19 pneumonia after receiving a prolonged course of steroids. She presented with a clinical picture of left-eye panuveitis with white cotton ball chorioretinal lesions and RAPD suggesting an optic neuropathy (VA HM). Diagnostic vitrectomy was performed to take samples for infective screen and to give intravitreal voriconazole empirically. Smear, culture, and PCR for viral DNA confirmed mixed infection of endogenous Candida endophthalmitis and incidental CMV infection. With further treatment, her corrected vision improved to 6/18 with regressing fungal lesions in serial fundus photographs. Prompt diagnosis and intervention preserved her vision and prevented potential life-threatening complications.
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spelling pubmed-89175992022-03-13 A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19 Kaluarachchi, Sanjeewa Abeykoon, Muditha Indian J Ophthalmol Expedited Publications, Case Reports A 62-year-old female diabetic recovered from COVID-19 pneumonia after receiving a prolonged course of steroids. She presented with a clinical picture of left-eye panuveitis with white cotton ball chorioretinal lesions and RAPD suggesting an optic neuropathy (VA HM). Diagnostic vitrectomy was performed to take samples for infective screen and to give intravitreal voriconazole empirically. Smear, culture, and PCR for viral DNA confirmed mixed infection of endogenous Candida endophthalmitis and incidental CMV infection. With further treatment, her corrected vision improved to 6/18 with regressing fungal lesions in serial fundus photographs. Prompt diagnosis and intervention preserved her vision and prevented potential life-threatening complications. Wolters Kluwer - Medknow 2022-01 2021-12-23 /pmc/articles/PMC8917599/ /pubmed/34937270 http://dx.doi.org/10.4103/ijo.IJO_2454_21 Text en Copyright: © 2021 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 4.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Expedited Publications, Case Reports
Kaluarachchi, Sanjeewa
Abeykoon, Muditha
A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19
title A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19
title_full A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19
title_fullStr A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19
title_full_unstemmed A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19
title_short A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19
title_sort case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe covid-19
topic Expedited Publications, Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8917599/
https://www.ncbi.nlm.nih.gov/pubmed/34937270
http://dx.doi.org/10.4103/ijo.IJO_2454_21
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