Endogenous Fusarium Endophthalmitis in Diabetes Mellitus
Endogenous endophthalmitis accounts for 2% to 8% of cases of endophthalmitis. Immunocompromised state and intravenous drug use are the 2 most common causes of endogenous endophthalmitis due to molds fungi. Aspergillus, Fusarium, and Scedosporium are the common organisms in mold endophthalmitis. We r...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/6736413 |
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| author | S. Balamurugan Ashish Khodifad |
| author_facet | S. Balamurugan Ashish Khodifad |
| author_sort | S. Balamurugan |
| collection | DOAJ |
| description | Endogenous endophthalmitis accounts for 2% to 8% of cases of endophthalmitis. Immunocompromised state and intravenous drug use are the 2 most common causes of endogenous endophthalmitis due to molds fungi. Aspergillus, Fusarium, and Scedosporium are the common organisms in mold endophthalmitis. We report a case of Fusarium endophthalmitis in a patient with uncontrolled diabetes. While diabetes mellitus is a well-known risk factor for endogenous endophthalmitis, we did not find any reported case of Fusarium endophthalmitis in a case of diabetes mellitus. The patient presented with granulomatous uveitis masquerading as noninfectious uveitis with a very good response to steroids. The characteristic clinical features were established late in the clinical course associated with poor outcome. This case highlights the significance of uncontrolled diabetes as a risk factor for Fusarium endophthalmitis and also the presentation of endophthalmitis as a masquerade syndrome. The clinician should have high index of suspicion as these cases have poor outcomes. |
| format | Article |
| id | doaj-art-a3bebfc3ebe9460f985d856d2e692fad |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-a3bebfc3ebe9460f985d856d2e692fad2025-02-03T01:31:47ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/67364136736413Endogenous Fusarium Endophthalmitis in Diabetes MellitusS. Balamurugan0Ashish Khodifad1Uvea Services, Aravind Eye Hospital, Pondicherry, IndiaUvea Services, Aravind Eye Hospital, Pondicherry, IndiaEndogenous endophthalmitis accounts for 2% to 8% of cases of endophthalmitis. Immunocompromised state and intravenous drug use are the 2 most common causes of endogenous endophthalmitis due to molds fungi. Aspergillus, Fusarium, and Scedosporium are the common organisms in mold endophthalmitis. We report a case of Fusarium endophthalmitis in a patient with uncontrolled diabetes. While diabetes mellitus is a well-known risk factor for endogenous endophthalmitis, we did not find any reported case of Fusarium endophthalmitis in a case of diabetes mellitus. The patient presented with granulomatous uveitis masquerading as noninfectious uveitis with a very good response to steroids. The characteristic clinical features were established late in the clinical course associated with poor outcome. This case highlights the significance of uncontrolled diabetes as a risk factor for Fusarium endophthalmitis and also the presentation of endophthalmitis as a masquerade syndrome. The clinician should have high index of suspicion as these cases have poor outcomes.http://dx.doi.org/10.1155/2016/6736413 |
| spellingShingle | S. Balamurugan Ashish Khodifad Endogenous Fusarium Endophthalmitis in Diabetes Mellitus Case Reports in Ophthalmological Medicine |
| title | Endogenous Fusarium Endophthalmitis in Diabetes Mellitus |
| title_full | Endogenous Fusarium Endophthalmitis in Diabetes Mellitus |
| title_fullStr | Endogenous Fusarium Endophthalmitis in Diabetes Mellitus |
| title_full_unstemmed | Endogenous Fusarium Endophthalmitis in Diabetes Mellitus |
| title_short | Endogenous Fusarium Endophthalmitis in Diabetes Mellitus |
| title_sort | endogenous fusarium endophthalmitis in diabetes mellitus |
| url | http://dx.doi.org/10.1155/2016/6736413 |
| work_keys_str_mv | AT sbalamurugan endogenousfusariumendophthalmitisindiabetesmellitus AT ashishkhodifad endogenousfusariumendophthalmitisindiabetesmellitus |