Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess

Sandeep Bhuta, Charlie Chia-Tsong Hsu, Gigi Nga Chi KwanGriffith University, School of Medicine, Department of Medical Imaging, Gold Coast Hospital, Southport, Gold Coast, QLD, AustraliaPurpose: To describe the imaging appearance of Scedosporium apiospermum (S. apiosermum) endophthalmitis in an immu...

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Autores principales:	Kwan GN, Hsu CC, Bhuta S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/af01c90f9a664406a79b387b7850b909
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spelling	oai:doaj.org-article:af01c90f9a664406a79b387b7850b9092021-12-02T07:33:55ZScedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess1177-54671177-5483https://doaj.org/article/af01c90f9a664406a79b387b7850b9092012-11-01T00:00:00Zhttp://www.dovepress.com/scedosporium-apiospermum-endophthalmitis-diffusion-weighted-imaging-in-a11569https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Sandeep Bhuta, Charlie Chia-Tsong Hsu, Gigi Nga Chi KwanGriffith University, School of Medicine, Department of Medical Imaging, Gold Coast Hospital, Southport, Gold Coast, QLD, AustraliaPurpose: To describe the imaging appearance of Scedosporium apiospermum (S. apiosermum) endophthalmitis in an immunocompetent female who underwent high resolution magnetic resonance imaging (MRI) of the orbits and showed subchoroidal abscess on diffusion-weighted imaging.Methods: We highlight utility of MRI sequences: diffusion-weighted imaging (DWI), apparent diffusion coefficient (ADC), fluid-attenuated inversion recovery (FLAIR), and contrast-enhanced magnetic resonance imaging (CE-MRI) in the detection of a subchoroidal abscess and characterization of the inflammatory change of the uveal tract. Vitreous culture grew S. apiospermum.Conclusion: Fungal endophthalmitis is a rare but aggressive process. Clinically, it can mimic other disease entities such as neoplasm. To the best of our knowledge, this is the first case that describes the CT and MRI imaging findings of S. apiospermum endophthalmitis. We emphasize the use of DWI and ADC sequences in the detection of subchoroidal abscess.Keywords: Secosporidium apiospermum, endophthalmitis, subchoroidal abscess, magnetic resonance imaging, diffusion-weighted imaging, contrast-enhanced magnetic resonance imagingKwan GNHsu CCBhuta SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1921-1924 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kwan GN Hsu CC Bhuta S Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess
description	Sandeep Bhuta, Charlie Chia-Tsong Hsu, Gigi Nga Chi KwanGriffith University, School of Medicine, Department of Medical Imaging, Gold Coast Hospital, Southport, Gold Coast, QLD, AustraliaPurpose: To describe the imaging appearance of Scedosporium apiospermum (S. apiosermum) endophthalmitis in an immunocompetent female who underwent high resolution magnetic resonance imaging (MRI) of the orbits and showed subchoroidal abscess on diffusion-weighted imaging.Methods: We highlight utility of MRI sequences: diffusion-weighted imaging (DWI), apparent diffusion coefficient (ADC), fluid-attenuated inversion recovery (FLAIR), and contrast-enhanced magnetic resonance imaging (CE-MRI) in the detection of a subchoroidal abscess and characterization of the inflammatory change of the uveal tract. Vitreous culture grew S. apiospermum.Conclusion: Fungal endophthalmitis is a rare but aggressive process. Clinically, it can mimic other disease entities such as neoplasm. To the best of our knowledge, this is the first case that describes the CT and MRI imaging findings of S. apiospermum endophthalmitis. We emphasize the use of DWI and ADC sequences in the detection of subchoroidal abscess.Keywords: Secosporidium apiospermum, endophthalmitis, subchoroidal abscess, magnetic resonance imaging, diffusion-weighted imaging, contrast-enhanced magnetic resonance imaging
format	article
author	Kwan GN Hsu CC Bhuta S
author_facet	Kwan GN Hsu CC Bhuta S
author_sort	Kwan GN
title	Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess
title_short	Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess
title_full	Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess
title_fullStr	Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess
title_full_unstemmed	Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess
title_sort	scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/af01c90f9a664406a79b387b7850b909
work_keys_str_mv	AT kwangn scedosporiumapiospermumendophthalmitisdiffusionweightedimagingindetectingsubchoroidalabscess AT hsucc scedosporiumapiospermumendophthalmitisdiffusionweightedimagingindetectingsubchoroidalabscess AT bhutas scedosporiumapiospermumendophthalmitisdiffusionweightedimagingindetectingsubchoroidalabscess
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Scedosporium apiospermum endophthalmitis: diffusion-weighted imaging in detecting subchoroidal abscess

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