Abstract
BackgroundThe purpose of this study was to report the case of a patient with bilateral panuveitis who was found to have a rarely reported intraocular fungus, Aspergillus conicus. A 40-year-old man presented with gradual vision loss in both eyes. He had bilateral anterior uveitis, granulomatous vitritis with a preretinal granuloma in the right eye, and nongranulomatous vitritis with two quadrants of chorioretinal scarring in the left.FindingsSerological testing revealed a new diagnosis of human immunodeficiency virus as well as positive rapid plasma reagin and fluorescent treponemal antibody. Polymerase chain reaction (PCR) testing of the aqueous humor from the right eye identified A. conicus. Due to the indolent course of the endogenous fungal infection, the patient was treated with prednisolone acetate 1% eye drops, oral voriconazole, and highly active antiretroviral therapy. More than 1 year later, his vision remained 20/20 in both eyes without any episodes of recurrent inflammation.ConclusionsPCR testing helped identify a rare intraocular infection in an immunocompromised patient. In this case, A. conicus behaved less aggressively than other species of Aspergillus implicated in intraocular infection.
Highlights
The purpose of this study was to report the case of a patient with bilateral panuveitis who was found to have a rarely reported intraocular fungus, Aspergillus conicus
A. conicus behaved less aggressively than other species of Aspergillus implicated in intraocular infection
Aspergillus is the second most common cause of endogenous fungal endophthalmitis after Candida and is more likely to occur in immunocompromised patients due to HIV, malignancy, diabetes mellitus, or immunosuppressive medications [1]
Summary
The purpose of this study was to report the case of a patient with bilateral panuveitis who was found to have a rarely reported intraocular fungus, Aspergillus conicus. Conclusions: PCR testing helped identify a rare intraocular infection in an immunocompromised patient. A. conicus behaved less aggressively than other species of Aspergillus implicated in intraocular infection.
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