Post operative fungal endopthalmitis due to Geotrichum candidum

Abstract

Geotrichum species have been rarely reported as the cause of sepsis, disseminated infection in immunosuppressed patients. The patient we describe developed indolent endophthalmitis four months after her routine right eye cataract surgery. The intraoperative sample from right vitreous fluid grew Geotrichum candidum. The patient underwent vitrectomy, artificial lens explantation and intravitreal injection of amphotericin B followed by oral voriconazole. Despite these interventions, she underwent enucleation. This is the first published case of Geotrichum candidum endophthalmitis.

Keywords: Endophthalmitis; Geotrichum candidum.

Fig. S1

Fig. 1

Direct KOH wet mount of ocular fluid. The ocular fluid contained brown granular material, hyphae measuring 6–8 μM in width and chains of arthroconidia (arrows), measuring 6×8 μM.

Fig. 2

The organism on tape preparation from the Sabauraud dextrose agar stained with lacto-phenol-cotton-blue stain. The isolate grew as a septate, filamentous mycelium measuring 6–8 μM in width, with rare hlamydospores (arrowhead). The hyphae fragmented into chains of arthroconidia (arrow) and individual cells.