Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host

Purpose: To report a case of bilateral endogenous endophthalmitis, caused by the Trichoderma species, in a severely immunocompromised patient. Observations: A 39-year-old man with acute myeloid leukemia, in a relapsed state on high-dose chemotherapy, experienced profound neutropenia and immunosuppre...

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Autores principales:	Abdulaziz Al-Shehri, Saud Aljohani, Valmore A. Semidey
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Endogenous endophthalmitis Fungal Trichoderma Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/33b15a0c4a4e4931a429635fc9f748c3
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spelling	oai:doaj.org-article:33b15a0c4a4e4931a429635fc9f748c32021-11-12T04:43:11ZBilateral endogenous Trichoderma endophthalmitis in an immunocompromised host2451-993610.1016/j.ajoc.2021.101234https://doaj.org/article/33b15a0c4a4e4931a429635fc9f748c32021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2451993621002437https://doaj.org/toc/2451-9936Purpose: To report a case of bilateral endogenous endophthalmitis, caused by the Trichoderma species, in a severely immunocompromised patient. Observations: A 39-year-old man with acute myeloid leukemia, in a relapsed state on high-dose chemotherapy, experienced profound neutropenia and immunosuppression. The patient reported two weeks of severe bilateral vision loss. The diagnosis of bilateral endogenous endophthalmitis was initially established based on the patient's history, immune status, clinical findings, and confirmed positive vitreous culture.The patient was initially managed with vitreous tap, pars plana vitrectomy with silicone oil injection in the left eye, and vitreous tap and antibiotic injection of the right eye. Eventually, the right eye underwent pars plana vitrectomy as well. Cultures of the vitreous sample grew a filamentous fungus, identified as the Trichoderma species. His blood and urine culture tested negative. The patient was kept on systemic amphotericin B over 52 weeks, and his condition improved dramatically. Three months post phacoemulsification and silicone oil removal, best-corrected visual acuity values were 20/50 in both eyes. Conclusion and Importance: This is the first reported case of bilateral endogenous endophthalmitis, caused by the Trichoderma species, in an immunocompromised patient. Early recognition and intervention were associated with good functional and anatomical outcomes.Abdulaziz Al-ShehriSaud AljohaniValmore A. SemideyElsevierarticleEndogenous endophthalmitisFungalTrichodermaOphthalmologyRE1-994ENAmerican Journal of Ophthalmology Case Reports, Vol 24, Iss , Pp 101234- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Endogenous endophthalmitis Fungal Trichoderma Ophthalmology RE1-994
spellingShingle	Endogenous endophthalmitis Fungal Trichoderma Ophthalmology RE1-994 Abdulaziz Al-Shehri Saud Aljohani Valmore A. Semidey Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host
description	Purpose: To report a case of bilateral endogenous endophthalmitis, caused by the Trichoderma species, in a severely immunocompromised patient. Observations: A 39-year-old man with acute myeloid leukemia, in a relapsed state on high-dose chemotherapy, experienced profound neutropenia and immunosuppression. The patient reported two weeks of severe bilateral vision loss. The diagnosis of bilateral endogenous endophthalmitis was initially established based on the patient's history, immune status, clinical findings, and confirmed positive vitreous culture.The patient was initially managed with vitreous tap, pars plana vitrectomy with silicone oil injection in the left eye, and vitreous tap and antibiotic injection of the right eye. Eventually, the right eye underwent pars plana vitrectomy as well. Cultures of the vitreous sample grew a filamentous fungus, identified as the Trichoderma species. His blood and urine culture tested negative. The patient was kept on systemic amphotericin B over 52 weeks, and his condition improved dramatically. Three months post phacoemulsification and silicone oil removal, best-corrected visual acuity values were 20/50 in both eyes. Conclusion and Importance: This is the first reported case of bilateral endogenous endophthalmitis, caused by the Trichoderma species, in an immunocompromised patient. Early recognition and intervention were associated with good functional and anatomical outcomes.
format	article
author	Abdulaziz Al-Shehri Saud Aljohani Valmore A. Semidey
author_facet	Abdulaziz Al-Shehri Saud Aljohani Valmore A. Semidey
author_sort	Abdulaziz Al-Shehri
title	Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host
title_short	Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host
title_full	Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host
title_fullStr	Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host
title_full_unstemmed	Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host
title_sort	bilateral endogenous trichoderma endophthalmitis in an immunocompromised host
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/33b15a0c4a4e4931a429635fc9f748c3
work_keys_str_mv	AT abdulazizalshehri bilateralendogenoustrichodermaendophthalmitisinanimmunocompromisedhost AT saudaljohani bilateralendogenoustrichodermaendophthalmitisinanimmunocompromisedhost AT valmoreasemidey bilateralendogenoustrichodermaendophthalmitisinanimmunocompromisedhost
_version_	1718431224011161600

Bilateral endogenous Trichoderma endophthalmitis in an immunocompromised host

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