Open AccessPostpartum endogenous Candida endophthalmitis
Author(s) -
Abdulrahman F. AlBloushi,
Abdullah Almousa,
Norah F Alkheraiji,
Ahmed M. Abu ElAsrar
Publication year - 2019
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/meajo.meajo_284_18
Subject(s) - medicine , vitrectomy , pars plana , candida albicans , vaginal delivery , medical history , postpartum period , endophthalmitis , fluconazole , surgery , amphotericin b , ophthalmology , antifungal , dermatology , pregnancy , visual acuity , genetics , biology
Postpartum endogenous fungal endophthalmitis in otherwise healthy females is extremely rare disease. We report a case of a 25-year-old female patient referred with a history of decreased vision in her right eye 1 month after uncomplicated vaginal delivery. She presented with multifocal chorioretinal infiltrates. The patient showed persistent inflammation in her right eye then after. Systemic workup was unremarkable apart from a history of vaginal discharge during peripartum period. Vaginal swap confirmed the presence of Candida albicans . Culture of the vitreous sample confirmed the growth of C. albicans . The patient was managed with intravitreal amphotericin B in addition to systemic antifungal treatment followed by pars plana vitrectomy. The patient achieved 20/40 vision with quiet eye after 6 months of follow-up.