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

Authors :
Sanjeewa Kaluarachchi
Muditha Abeykoon
Source :
Indian Journal of Ophthalmology, Vol 70, Iss 1, Pp 323-326 (2022)
Publication Year :
2022
Publisher :
Medknow, 2022.

Abstract

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.

Details

ISSN :
03014738
Volume :
70
Database :
OpenAIRE
Journal :
Indian Journal of Ophthalmology
Accession number :
edsair.doi.dedup.....de6e63301a70d408667c94acdcb06bda
Full Text :
https://doi.org/10.4103/ijo.ijo_2454_21