Endogenous Fusarium Endophthalmitis in Diabetes MellitusReport as inadecuate




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Case Reports in Ophthalmological Medicine - Volume 2016 2016, Article ID 6736413, 4 pages -

Case ReportUvea Services, Aravind Eye Hospital, Pondicherry, India

Received 31 July 2016; Accepted 31 October 2016

Academic Editor: Kostas G. Boboridis

Copyright © 2016 S. Balamurugan and Ashish Khodifad. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.





Author: S. Balamurugan and Ashish Khodifad

Source: https://www.hindawi.com/



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