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Anterior and Pan-endophthalmitis Caused by Candida albicans and Aspergillus fumigatus: Report of Two Cases

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Abstract

We report two posttraumatic fungal endophthalmitis cases with anterior and entire segment involvement caused, respectively, by Candida albicans and Aspergillus fumigatus. The anterior endophthalmitis induced by C. albicans presented multifocal lesions with hyphael structures in anterior chamber, but without involvement of posterior vitreous. The pan-endophthalmitis caused by A. fumigatus displayed significant hypopyon and vitritis. Treatment strategies are anterior chamber cleaning for anterior endophthalmitis and vitrectomy for pan-endophthalmitis, excepting systemic and topical antifungal drug applications including intravitreal injection for both types of endophthalmitis. There is a much better outcome in the case with anterior segment involvement than that with entire segment involvement. This case report provides evidence that the different types of posttraumatic fungal endophthalmitis related to different fungal infections indeed existed and should be managed with different strategies.

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Authors and Affiliations

  1. Eye Hospital of Wenzhou Medical College at Hangzhou, 618 East Fengqi Road, Hangzhou, 310020, Zhejiang, China

    Tianlin Xiao

  2. Eye Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, China

    Anan Wang, Jianxiong Cao, Shufang Hu & Zhenquan Zhao

  3. Shenzhen Eye Hospital, Jinan University, Shenzhen, China

    Mingling Wang

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  1. Anan Wang
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  2. Jianxiong Cao
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  3. Shufang Hu
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  4. Zhenquan Zhao
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  5. Mingling Wang
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  6. Tianlin Xiao
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Correspondence to Tianlin Xiao.

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Wang, A., Cao, J., Hu, S. et al. Anterior and Pan-endophthalmitis Caused by Candida albicans and Aspergillus fumigatus: Report of Two Cases. Mycopathologia 176, 451–456 (2013). https://doi.org/10.1007/s11046-013-9694-4

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  • DOI: https://doi.org/10.1007/s11046-013-9694-4

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