Endogenous Candida lens abscess in a premature infant

This case report describes an extremely rare Candida lens abscess in a premature infant (gestational age 24 weeks at birth). After birth the infant suffered from Candida sepsis which was successfully treated with an antifungal medication. The patient was referred at the age of 6 months because of gr...

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Bibliographic Details
Published in:Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 2016-01, Vol.113 (1), p.71-74
Main Authors: Fieß, Achim, Bauer, J, Schindel, C, Knuf, M, Dithmar, S
Format: Article
Language:ger
Subjects:
Abscess - diagnosis
Abscess - therapy
Candidiasis - diagnosis
Candidiasis - therapy
Diagnosis, Differential
Eye Infections, Fungal - diagnosis
Eye Infections, Fungal - therapy
Humans
Infant
Infant, Newborn
Infant, Premature, Diseases - diagnosis
Infant, Premature, Diseases - therapy
Lens Diseases - diagnosis
Lens Diseases - therapy
Treatment Outcome
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Summary:This case report describes an extremely rare Candida lens abscess in a premature infant (gestational age 24 weeks at birth). After birth the infant suffered from Candida sepsis which was successfully treated with an antifungal medication. The patient was referred at the age of 6 months because of greyish alterations in the pupils but an absence of other symptoms. The examination with the patient under general anesthesia revealed a grey pupillary membrane and behind it a whitish swollen lens. A lensectomy was performed. The vitreous body was inconspicuous. Candida albicans was identified microbiologically. In preterm infants dissemination of pathogens into the lens through the vascular coat of the lens is possible, which after regression of the coat is no longer accessible to systemic treatment and may thus be manifested as delayed abscess formation.
ISSN:1433-0423
DOI:10.1007/s00347-015-0068-9