ArticleBMC ophthalmology2025
A rare case of exogenous fungal endophthalmitis following a traumatic corneal insult.
Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTo report a case of exogenous endophthalmitis caused by Rhizomucor miehei after traumatic corneal injury. CASE PRESENTATION: A 70-year-old gentleman with a recent history of trauma to the left eye involving a barbed wire two months previous presented with reduced visual acuity amid significant ocular pain. He was initially treated with broad spectrum antibiotic therapy including ceftazidime 5% and vancomycin 1% and the antifungal agent voriconazole. The subsequent vitreous culture was positive for Rhizomucor miehei. Subsequent diagnostic vitrectomy was undertaken and the patient was followed- up in clinic therafter.
conclusionAn accurate diagnosis for fungal endophthalmitis is elusive to many clinicians, owing to its subtle and sometimes misleading clinical presentation. An open mind accompanied with a high index of clinical suspicion for fungal pathology is essential in managing such presentations.
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