Endogenous candidal endophthalmitis associated with flame burn injury and advanced gastric cancer.
- Author:
Sung Tae YI
1
;
Jae Ryung OH
;
Kuhl HUH
Author Information
1. Department of Ophthalmology, Korea University College of Medicine, Korea. dumky@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Advanced gastric cancer;
Endogenous candidal endophthalmitis;
Flame burn injury
- MeSH:
Adult;
Amphotericin B;
Anterior Chamber;
Antifungal Agents;
Burns*;
Endophthalmitis*;
Esophagitis;
Fluconazole;
Humans;
Inflammation;
Ophthalmoscopes;
Stomach Neoplasms*;
Telescopes;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2003;44(1):235-239
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report a case of candidal endophthlmitis developed in a patient with advanced gastric cancer who recently injured by flame burn. He was treated successfully with intravitreous and intravenous antifungal agents. METHODS: A 40-year-old man visited with complaints of decreased binocular visual acuity 7 weeks after third degree flame burn injury to 25% of body surface. Indirect ophthalmoscope showed findings of fungal endophthalmitis and upper gastro-intestinal endoscopic examination diagnosed of fungal esophagitis and advanced gastric cancer. He was treated with amphotericin B intranvitreously and fluconazole and amphotericin B intravenously. RESULTS: His visual acuity was improved to 20/50 (OD), 20/30 (OS) following 4 weeks after treatment and intraocular inflammation was decreased. After 5 months, he recovered his visual acuity as 20/25 (OD), 20/20 (OS), and had no inflammation in anterior chamber and vitreous.
