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. 2012 Sep;2(3):157-60.
doi: 10.1007/s12348-012-0063-0. Epub 2012 Feb 28.

Scedosporium apiospermum endopthalmitis treated early with intravitreous voriconazole results in recovery of vision

Monika Paroder Belenitsky  1 , Catherine Liu, Irena Tsui
Affiliations

Scedosporium apiospermum endopthalmitis treated early with intravitreous voriconazole results in recovery of vision

Monika Paroder Belenitsky et al. J Ophthalmic Inflamm Infect. 2012 Sep.

Abstract

Aim: The purpose of this study is to report a case of endogenous endopthalmitis caused by Scedosporium apiospermum with a favorable outcome and review previously reported cases, their treatment regimens and outcomes.

Methods: An 83-year-old man with diabetes mellitus, no other immunocompromising risk factors, and a history of S. apiospermum endopthalmitis in the left eye developed endopthalmitis in the right eye. Within 72 h of presentation, he was treated with a pars plana vitrectomy and intravitreal voriconozole.

Results: Vitreous cultures confirmed S. apiospermum. The patient responded to treatment, with a favorable outcome and full recovery of vision.

Conclusions: Recognition of S. apiospermum endopthalmitis and appropriate early intervention with pars plana vitrectomy and intravitreal voriconozole can lead to a favorable outcome with restoration of visual acuity.

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