Indian Journal of Ophthalmology

CASE REPORT
Year
: 2018  |  Volume : 66  |  Issue : 7  |  Page : 1015--1017

Endogenous Cryptococcus neoformans endophthalmitis with subretinal abscess in a HIV-infected man


Joveeta Joseph1, Savitri Sharma1, Raja Narayanan2 
1 Jhaveri Microbiology Centre, Brien Holden Eye Research Centre, L. V. Prasad Eye Institute, Hyderabad, Telangana, India
2 Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L. V. Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Joveeta Joseph
Jhaveri Microbiology Centre, Brien Holden Eye Research Centre, L. V. Prasad Eye Institute, Hyderabad - 500 034, Telangana
India

To report a rare case of Cryptococcus neoformans endogenous endophthalmitis with subretinal abscess in a 36-year-old HIV-positive man, referred with progressive blurred vision in his right eye for the last 6 months. Vitreous biopsy followed by intravitreal ganciclovir did not result in significant improvement. Microbiology revealed the presence of C. neoformans, and intravitreal amphotericin B was then administered. The patient was treated aggressively with systemic and intravitreal antifungals but had a poor visual and anatomical outcome. A high degree of clinical suspicion combined with microbiological evaluation helped to arrive at an appropriate diagnosis.


How to cite this article:
Joseph J, Sharma S, Narayanan R. Endogenous Cryptococcus neoformans endophthalmitis with subretinal abscess in a HIV-infected man.Indian J Ophthalmol 2018;66:1015-1017


How to cite this URL:
Joseph J, Sharma S, Narayanan R. Endogenous Cryptococcus neoformans endophthalmitis with subretinal abscess in a HIV-infected man. Indian J Ophthalmol [serial online] 2018 [cited 2020 Jul 14 ];66:1015-1017
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=7;spage=1015;epage=1017;aulast=Joseph;type=0