Endogenous<i> Candida</i> Endophthalmitis as a Rare Complication of Trans-Urethral Lithotripsy in a Healthy Woman: A Case Report

Abstract

Endogenous endophthalmitis is a serious sight-threatening ocular emergency that usually occurs in patients with serious underlying risk factors. In this report, we describe a case of endogenous Candida endophthalmitis following trans-urethral lithotripsy in an immunocompetent woman. In our case, the retinal lesion regressed completely and vision was restored. We discuss diagnostic procedures and management strategies in this article.

Candida endophthalmitis and Candida pneumonia after trans‐urethral lithotripsy: A case report

“…For severe cases of CE, the adjunctive use of vitrectomy by intravitreal injection of amphotericin, fluconazole, and systemic antifungal therapy is recommended 2,6–8,13 . In the presented case, vitrectomy, amphotericin‐B, and then step‐down therapy with fluconazole resulted in clinical improvement.…”

“…Thus, it might be frequently overlooked in differential diagnosis. 5,6 Here, we report a rare case of CE and CP as a complication of trans-urethral lithotripsy (TUL) in a diabetic patient.…”

Do not stumble over the same “stone” twice: a case series of endogenous endophthalmitis secondary to severe systemic diseases

“…Candiduria), which may occur in both asymptomatic and symptomatic urinary tract infections [10]. During the urologic procedures, even though minimal invasive, C. albicans in the urinary tract may enter bloodstream due to mechanical abrasion and epithelial trauma, seed into the eyes and lead to intraocular candidiasis [11].…”

Endogenous endophthalmitis by <i>Candida glabrata</i>: An unusual complication of digestive surgery

“…In fact, ocular complications in colorectal surgery are rare [4] and the risk of a hospitalized patient developing endophthalmitis from fungemia appears to be low overall. However, immunodepression and digestive surgical is described among the risk factors of EFE [5]. Systemic immunosuppression is not sufficient for the development of intraocular candidiasis, but in the presence of candidemia, immunosuppression is likely to increase the risk and severity of the ocular infection.…”