Endogenous Fungal Endophthalmitis Developing in a Myasthenia Gravis Individual Treated with High Dose Methylprednisolone
|Jia-lin Wang and Yu-ling Liu*|
|Peking University Eye Center, Peking University Third Hospital, Peking University, Beijing 100191 P.R. China|
|Corresponding Author :||Yu-ling Liu
Peking University Eye Center
Peking University Third Hospital
49 North Garden Road, Haidian District
E-mail: [email protected]
|Received June 27, 2012; Accepted July 20, 2012; Published July 25, 2012|
|Citation: Wang Jl, Liu Yl (2012) Endogenous Fungal Endophthalmitis Developing in a Myasthenia Gravis Individual Treated with High Dose Methylprednisolone. J Clin Exp Ophthalmol 3:234. doi:10.4172/2155-9570.1000234|
|Copyright: © 2012 Wang Jl, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Background: To report a successful treatment case of endogenous fungal endophthalmitis caused by corticosteroid impulse therapy and the cultures are always negative for fungi.
Methods: Systemic antifungal treatment and full ophthalmic examination including B-scan ultrasonography, fundus photograph and indocyanine green angiography.
Results: The visual acuity recovered from 0.2 to 0.8. B-scan ultrasonography revealed the largest irregular apophysis which disappeared finally. Both fundus photograph and indocyanine green angiography showed the chorioretinal lesions disappearing.
Conclusion: Endogenous fungal endophthalmitis caused by corticosteroid impulse therapy is noteworthy and under this situation antifungal treatment should be considered even if the culture is negative for fungi.