Endophthalmitis associated with Purpureocillium lilacinum during infliximab treatment for surgically induced necrotizing scleritis, successfully treated with 27-gauge vitrectomy

• Published in: International ophthalmology 2018-04, Vol.38 (2), p.841-847
• Main Authors: Yoshida, Masaaki, Yokokura, Shunji, Kunikata, Hiroshi, Takada, Naoko, Maruyama, Kazuichi, Toyokawa, Masahiro, Kashio, Kazushi, Kaku, Mitsuo, Nakazawa, Toru
• Format: Article
• Language: English
• Subjects: Acuity; Amnion; Anterior chamber; Antibiotics; Case Report; Case reports; Ceftazidime; Cell culture; Endophthalmitis; Eye; Fungi; Fungicides; Immunosuppressive agents; Immunotherapy; Infliximab; Intraocular pressure; Medicine; Medicine & Public Health; Mitomycin C; Monoclonal antibodies; Opacity; Ophthalmology; Pain; Perfusion; Purpureocillium lilacinum; Retina; Risk factors; Scleritis; Surgery; Therapy; TNF inhibitors; Transplantation; Tumor necrosis factor-α; Ultrasound; Vancomycin; Visual acuity; Voriconazole
• ISSN: 0165-5701; 1573-2630
• DOI: 10.1007/s10792-017-0532-4

Purpose To report a case of endophthalmitis associated with Purpureocillium lilacinum ( P. lilacinum ) during infliximab treatment for surgically induced necrotizing scleritis, successfully treated with 27-gauge vitrectomy. Methods A single case report. Results A 71-year-old man who had undergone immunosuppressive therapy, including infliximab, for surgically induced necrotizing scleritis (SINS) in his left eye complained of visual disturbance and eye pain in the eye. He had a past history of surgery for recurrent pterygium: pterygium excision, amnion transplantation with mitomycin C and limbal transplantation. Visual acuity in the left eye was counting fingers at 30 cm, and intraocular pressure was 3.0 mmHg. Slit-lamp examination revealed the presence of anterior chamber cells (3+), and a B-mode ultrasound scan showed a vitreous opacity. We made a diagnosis of endophthalmitis and performed 27-gauge microincision vitrectomy surgery (27GMIVS) with antibiotic perfusion of ceftazidime, vancomycin and voriconazole. Intraoperative findings included a fungus-like ball-shaped opacity in the vitreous, and a close-to-normal retinal appearance. A vitreous body culture identified the presence of P. lilacinum . After 2 months of antibacterial and antifungal therapy, inflammation decreased and visual acuity recovered to 20/100. Conclusions This is the first report of a case of endophthalmitis associated with P. lilacinum during infliximab treatment for SINS. Scleral thinning due to necrotizing scleritis, especially during immunosuppressive therapy, is a risk factor for endophthalmitis. We found that 27GMIVS was a useful strategy for such a challenging clinical situation.