Candida glabrata as an aetiological factor of the fulminant course of panophthalmitis

INTRODUCTIONThe role of fungi in infections in immunocompromised patients is a growing problem in both diagnosis and treatment. Candida species are the most common cause of fungal, endogenous endophthalmitis and infections of the cornea. CASE STUDYA patient was admitted to hospital due to acute infl...

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Published in:Annals of agricultural and environmental medicine : AAEM 2020, Vol.27 (4), p.540-543
Main Authors: Bilska-Stokłosa, Joanna, Hampelska, Katarzyna, Osmola, Krzysztof, Czajka, Jędrzej, Bogdanowicz-Gapińska, Dorota, Tomczak, Hanna
Format: Report
Language:English
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Summary:INTRODUCTIONThe role of fungi in infections in immunocompromised patients is a growing problem in both diagnosis and treatment. Candida species are the most common cause of fungal, endogenous endophthalmitis and infections of the cornea. CASE STUDYA patient was admitted to hospital due to acute inflammation of the tissue of the left orbit, 1.5 years after the corneal penetrating transplantation of the left eye with intracapsular extraction of lens and simultaneous anterior vitrectomy. The microbiological system identified: Streptococcus pyogenes, Staphylococcus aureus, and Candida glabrata in the patient. CONCLUSIONSThe factors conducive to fungal infections are: patient's old age, immune disorders and diabetes, as well as the presence of a necrotic tissue or a foreign body. All these parameters were met in this case. Only antibiotic therapy and long-term antifungal therapy, together with surgical debridement of the site of the ongoing infection produces clinical effects in such severe cases.
ISSN:1898-2263
DOI:10.26444/aaem/122475