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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Bilateral endogenous ophthalmitis due to Candida glabrata after complicated bari...
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Vol. 89. Issue 7.
Pages 282-285 (July 2014)
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Vol. 89. Issue 7.
Pages 282-285 (July 2014)
Short communication
Bilateral endogenous ophthalmitis due to Candida glabrata after complicated bariatric surgery
Endoftalmitis endógena bilateral por Candida glabrata posterior a cirugía bariátrica complicada
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1955
O. Pizangoa,
Corresponding author
orionpizango@gmail.com

Corresponding author.
, E. Tejedaa, M. Buendiab, S. Lujana
a Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
b Servicio de Oftalmología, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru
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Abstract
Case report

A 43-year-old female presented with decreased visual acuity in the right eye. “Snowball-like” retinal lesions were found in both eyes on examination. Due to a lack of improvement with intravitreal antifungal empirical treatment, vitreous culture was performed and Candida glabrata was isolated. The patient then received intravitreal amphotericin B, as well as systemic treatment with caspofungin and amphotericin B lipid complex.

Discussion

Endogenous fungal endophthalmitis is a sight-threatening condition. There are few reports of C. glabrata endogenous endophthalmitis. Treatment regimens for Candida endophthalmitis include combinations of systemic and/or intravitreal antifungals, as well as vitrectomy.

Keywords:
Infectious endophthalmitis
Candida glabrata
Vitrectomy
Intravitreal injections
Bariatric surgery
Resumen
Caso clínico

Mujer de 43 años presenta disminución de agudeza visual en ojo derecho. En la evaluación, se encuentran lesiones retinianas «en bolas de nieve» en ambos ojos. En ausencia de mejoría con tratamiento empírico antifúngico intravítreo, se realiza cultivo de vítreo y se halla Candida glabrata. La paciente recibe anfotericina B intravítrea y tratamiento sistémico con caspofungina y anfotericina B complejo lipídico.

Discusión

La endoftalmitis endógena fúngica es una afección ocular grave. Existen escasos artículos de endoftalmitis endógena por Candida glabrata. Los regímenes de tratamiento para endoftalmitis por Candida incluyen combinaciones de antifúngicos sistémicos o intravítreos, así como vitrectomía.

Palabras clave:
Endoftalmitis infecciosa
Candida glabrata
Vitrectomía
Inyecciones intravítreas
Cirugía bariátrica

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