Endogenous endophthalmitis caused by Var. Gattii mimicking choroidal tumor: From positron-emission tomography/computed tomography to histopathology.
A 60-year-old immunocompetent female with pneumonia history about 10 years ago suffered from blurred vision overall survival for 3 weeks. Common cold with headache and unintentional body weight loss was also noted recently. Choroidal detachment simulating choroidal tumor was observed in the temporal...
| Publicado en: | Indian Journal of Ophthalmology Vol. 65; no. 6; pp. 526 - 529 |
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| Autores principales: | , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jun2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123861964&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123861964 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03014738 1BRZ jtl: Indian Journal of Ophthalmology issn: 03014738 maglogo: N pubinfo: dt: Jun2017 vid: 65 iid: 6 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 123861964 123861964 NLM28643722 123861964 10.4103/ijo.IJO_543_16 NLM28643722 123861964 ppf: 526 ppct: 3 formats: tig: atl: Endogenous endophthalmitis caused by Var. Gattii mimicking choroidal tumor: From positron-emission tomography/computed tomography to histopathology. aug: au: Lin, Chun-Ju Chen, Wen-Lu Lin, Jane-Ming Tien, Peng-Tai Tsai, Yi-Yu affil: School of Medicine, College of Medicine, China Medical University; Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, Taiwan, ROC sug: subj: Biopsy Methods Cryptococcus Cryptococcosis Diagnosis Eye Infections, Fungal Diagnosis Endophthalmitis Diagnosis Uveal Neoplasms Diagnosis Middle Age Eye Infections, Fungal Microbiology Cryptococcosis Microbiology Diagnosis, Differential Vitreous Body Microbiology Endophthalmitis Microbiology Female Middle Aged: 45-64 years Female ab: A 60-year-old immunocompetent female with pneumonia history about 10 years ago suffered from blurred vision overall survival for 3 weeks. Common cold with headache and unintentional body weight loss was also noted recently. Choroidal detachment simulating choroidal tumor was observed in the temporal quadrant. The 18F-fluoro-2-deoxyglucose (FDG) positron-emission tomography/computed tomography (CT) scan showed focal, mild to moderate FDG uptake in the left lateral orbit, and an enhanced lesion was seen on the recent CT scan. The suspicious choroidal tumor became larger in a week. Phacoemulsification, vitrectomy, and retinal biopsies were performed. Histochemical study of the retinal specimens established the diagnosis of endogenous cryptococcal endophthalmitis. Vitreous culture yielded Cryptococcus neoformans var. gattii. Systemic and topical voriconazole eliminated the infection. In the literature, endogenous endophthalmitis caused by C. neoformans var. gattii has not been reported in detail. The key to successful management lies in early diagnosis. If clinical improvement could not be achieved after conventional management and imaging studies have failed to yield a definite diagnosis, retinal biopsy can be considered. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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