Chorioretinal paracoccidioidomycosis treated with intravitreal voriconazole and therapeutic vitrectomy

To report a case of aggressive chorioretinal paracoccidioidomycosis requiring treatment with systemic antifungal agents, frequent intravitreal voriconazole injections, and surgical excision. A Brazilian man in his mid-30s with a history of chronic, biopsy-proven cutaneous paracoccidioidomycosis, chr...

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Bibliographic Details
Published in:American journal of ophthalmology case reports 2021-09, Vol.23, p.101187, Article 101187
Main Authors: Oke, Isdin, Loporchio, Dean F., Siegel, Nicole H., Subramanian, Manju L., LaMattina, Kara C.
Format: Article
Language:English
Subjects:
Case Report
Chorioretinal
Fungal uveitis
Intravitreal voriconazole
Ocular
Paracoccidioidomycosis
Pars plana vitrectomy
Tractional retinal detachment
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Summary:To report a case of aggressive chorioretinal paracoccidioidomycosis requiring treatment with systemic antifungal agents, frequent intravitreal voriconazole injections, and surgical excision. A Brazilian man in his mid-30s with a history of chronic, biopsy-proven cutaneous paracoccidioidomycosis, chronic sinusitis, and perichondritis secondary to paracoccidioidomycosis presented with profound vision loss. He was found to have significant vitreous inflammation and a large chorioretinal lesion in the posterior pole concerning for ocular involvement. He was treated initially with combined topical and systemic steroids as well as systemic antifungals and antibiotics, then with serial intravitreal voriconazole injections resulting in a significant reduction of intraocular inflammation and subretinal fluid. The residual tractional retinal detachment from the chorioretinal lesion was addressed surgically by pars plana vitrectomy. Intravitreal voriconazole can be an effective adjuvant treatment for the vitreous inflammation and subretinal fluid associated with chorioretinal paracoccidioidomycosis. Surgical intervention may be indicated in cases complicated by tractional retinal detachment.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2021.101187