Cerebral Basilar Artery Mycotic Aneurysm Associated With Aspergillus Endogenous Endophthalmitis.
10.3341/jkos.2010.51.12.1671
- Author:
Mee Yon LEE
1
;
Woong Joo WHANG
;
Won Ki LEE
Author Information
1. Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Seoul, Korea. wklee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Aspergillus endophthalmitis;
Endogenous endophthalmitis;
Mycotic aneurysm
- MeSH:
Adult;
Amphotericin B;
Aneurysm, Infected;
Aspergillus;
Basilar Artery;
Central Nervous System;
Coma;
Endophthalmitis;
Eye;
Humans;
Hyphae;
Rupture;
Subarachnoid Hemorrhage;
Vision, Ocular;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2010;51(12):1671-1675
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of mycotic aneurysm of the cerebral basilar artery associated with bilateral endogenous aspergillus endophthalmitis. CASE SUMMARY: A 41-year-old man with no underlying disease presented with decreased vision in both eyes. The patient was diagnosed with bilateral endogenous endophthalmitis, and the authors performed a vitrectomy and lensectomy on the right eye. Hyphae were detected in the vitreous sample, and systemic amphotericin was administered. Three days after the operation, the patient became comatose due to a subarachnoid hemorrhage. Aspergillus antigen was detected in the vitreous sample and in the cerebrospinal fluid. Subarachnoid hemorrhage was due to the rupture of a mycotic aneurysm of the cranial basilar artery, complicated by aspergillus infection of the central nervous system.
