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Background <p>To report a case of exogenous endophthalmitis caused by <i>Rhizomucor miehei</i> after traumatic corneal injury.</p> Case presentation <p>A 70-year-old gentleman with a recent history of trauma to the left eye involving a barbed wire two months previous presented with reduced visual acuity amid significant ocular pain. He was initially treated with broad spectrum antibiotic therapy including ceftazidime 5% and vancomycin 1% and the antifungal agent voriconazole. The subsequent vitreous culture was positive for <i>Rhizomucor miehei</i>. Subsequent diagnostic vitrectomy was undertaken and the patient was followed- up in clinic therafter.</p> Conclusion <p>An accurate diagnosis for fungal endophthalmitis is elusive to many clinicians, owing to its subtle and sometimes misleading clinical presentation. An open mind accompanied with a high index of clinical suspicion for fungal pathology is essential in managing such presentations.</p>

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A rare case of exogenous fungal endophthalmitis following a traumatic corneal insult

  • 期刊论文

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  • 发表日期：

    2025年11月25日

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  • Richard Farnan,
  • Hamid Nafees,
  • Gordon Farnan,
  • Maedbh Rhatigan

摘要

Background

To report a case of exogenous endophthalmitis caused by Rhizomucor miehei after traumatic corneal injury.

Case presentation

A 70-year-old gentleman with a recent history of trauma to the left eye involving a barbed wire two months previous presented with reduced visual acuity amid significant ocular pain. He was initially treated with broad spectrum antibiotic therapy including ceftazidime 5% and vancomycin 1% and the antifungal agent voriconazole. The subsequent vitreous culture was positive for Rhizomucor miehei. Subsequent diagnostic vitrectomy was undertaken and the patient was followed- up in clinic therafter.

Conclusion

An accurate diagnosis for fungal endophthalmitis is elusive to many clinicians, owing to its subtle and sometimes misleading clinical presentation. An open mind accompanied with a high index of clinical suspicion for fungal pathology is essential in managing such presentations.