A case of endogenous fungal endophthalmitis in a terminal patient with tongue cancer

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  • SETO Kahori
    Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, University of Tsukuba
  • YAMAGATA Kenji
    Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, University of Tsukuba
  • YUSA Hiroshi
    Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, University of Tsukuba
  • ONIZAWA Kojiro
    Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, University of Tsukuba
  • YOSHIDA Hiroshi
    Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, University of Tsukuba

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Other Title
  • 舌癌終末期患者に生じた内因性真菌性眼内炎の1例
  • ゼツガン シュウマツキ カンジャ ニ ショウジタ ナイインセイ シンキンセイ ガンナイエン ノ 1レイ

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Abstract

A rare case of endogenous fungal endophthalmitis(EFE)in a 73-year-old woman with recurrent tongue cancer is presented. The patient had terminal-stage disease and underwent insertion of a central venous catheter(CVC)for nutritional support. Her visual acuity decreased 10 days after the onset of a high fever. The bacterial cultures from blood and catheter were positive for Candida albicans. Fundal examination revealed characteristic features compatible with fungal endophthalmitis. The serum β-D glucan value was elevated .Consequently, this case was diagnosed as EFE subsequent to catheter insertion. Her visual acuity recovered after removal of the catheter and treatment with intravenous fluconazole for 6 weeks. The case suggests that oral and maxillofacial surgeons should consider the risk of EFE in compromised patients with CVC.

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