Endogenous Aspergillus versicolor endophthalmitis in an immuno-competent HIV-positive patient

Mycopathologia. 2005 Oct;160(3):259-61. doi: 10.1007/s11046-005-6871-0.

Abstract

A 25-year-old white, HIV-positive, immuno-competent man was referred to us because of a progressive blurred vision in his right eye. Clinical characteristics were suggestive for an unilateral fungal endophthalmitis, and thereby fluconazole firstly, followed by conventional amphotericin B were intravenously administered, without any significant improvement. Thus, a pars plana vitrectomy was performed. Aspergillus versicolor was isolated from the cultures of the vitreous sample and intravenous liposomal amphotericin B was administered. An increase of visual acuity together with a reduction of vitreous inflammation occurred. This case of ours represents the first report describing an endogenous endophthalmitis induced by Aspergillus versicolor.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aspergillosis / diagnosis
  • Aspergillosis / microbiology
  • Aspergillus / isolation & purification*
  • Endophthalmitis / diagnosis*
  • Endophthalmitis / microbiology*
  • Eye Infections, Fungal / diagnosis
  • Eye Infections, Fungal / microbiology
  • HIV Seropositivity / complications*
  • Humans
  • Immunocompetence*
  • Male
  • Visual Acuity
  • Vitrectomy