Post‐traumatic Scedosporium inflatum endophthalmitis

This is the first documented case of post‐traumatic Scedosporiuminflatum endophthalmitis and only the second of S. inflatum endophthalmitisoccurring in a non‐immuno­compromised individual, to theauthors’ knowledge. A case is reported of a 57‐year‐oldwoman who, while chopping wood, had a wood chip hit her in the righteye. This caused a penetrating corneal injury with uveal prolapseand damage to the crystalline lens. There were also vitreous andsuprachoroidal haemorrhages. No detectable intraocular foreign materialwas retained. The clinical manifestation of infection was delayed,but once established, it was very destructive. The initially indolentendophthalmitis eventually led to loss of all light perception andpanophthalmitis which required enucleation. The responsible strainof S. inflatum was found to be resistant to allantifungal medication in vitro .