1. Exogenous cryptococcal endophthalmitis in an immunocompetent patient
- Author
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Daniel Zhu, Ravneet Rai, Elzbieta Mechel, Paras P Shah, Maggie Hymowitz, Victoria Rohring, Isha Cheela, and C Michael Samson
- Subjects
bleb-related endophthalmitis ,cryptococcus ,endophthalmitis ,fungal ,glaucoma ,Ophthalmology ,RE1-994 - Abstract
We describe a case of exogenous cryptococcal endophthalmitis without central nervous system (CNS) involvement or systemic infection in an immunocompetent patient. An 82-year-old male with hypertension, hyperlipidemia, type 2 diabetes mellitus, and primary open-angle glaucoma with a history of left eye trabeculectomy presented with 3 months of worsening left eye pain and redness. Vitreous cultures resulted as Cryptococcus, prompting treatment with intravitreal amphotericin and further investigation. Systemic workup was unrevealing for an endogenous source, CNS involvement, or immunocompromising conditions. He was treated with an aggressive regimen of systemic antifungals, leading to subjective improvements in clinical exam and in vision.
- Published
- 2023
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