Glomerella cingulata endophthalmitis

Nathan Gunasekaran; Kenneth R. Lee; Andrew W. Kam; Dominic McCall; Dale Waring; Season Yeung; Adrian T. Fung

American Journal of Ophthalmology Case Reports (Dec 2022)

Glomerella cingulata endophthalmitis

Nathan Gunasekaran,
Kenneth R. Lee,
Andrew W. Kam,
Dominic McCall,
Dale Waring,
Season Yeung,
Adrian T. Fung

Affiliations

Nathan Gunasekaran: Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia
Kenneth R. Lee: Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia
Andrew W. Kam: Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia; Westmead and Central Clinical Schools, Specialty of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; Save Sight Institute, The University of Sydney, Sydney, New South Wales, Australia
Dominic McCall: Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia; Westmead and Central Clinical Schools, Specialty of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Dale Waring: Department of Anatomical Pathology, Prince of Wales Hospital, Randwick, New South Wales, Australia
Season Yeung: Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia; Westmead and Central Clinical Schools, Specialty of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Adrian T. Fung: Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia; Westmead and Central Clinical Schools, Specialty of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; The Westmead Institute for Medical Research, Westmead Hospital, Westmead, New South Wales, Australia; Department of Ophthalmology, Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Australia; Corresponding author. Department of Ophthalmology, Westmead Hospital Corner of Hawkesbury and Darcy Roads, Westmead, NSW, 2145, Australia.

Journal volume & issue: Vol. 28
p. 101744

Abstract

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Purpose: To report a case of an exogenous endophthalmitis caused by the fungal species Glomerella cingulata. Observations: A 71-year-old male presented with an infectious keratitis that evolved into endophthalmitis. Combined cataract extraction and pars plana vitrectomy was performed and the vitreous specimen cultured Glomerella cingulata, a variant of the Colletotrichum gloeosporioides fungal species. Despite early treatment with topical, systemic and intravitreal doses of both voriconazole and amphotericin B, the patient had a poor visual and anatomical outcome. Conclusions and Importance: Glomerella cingulata may rarely cause endophthalmitis with devastating visual outcomes.

Published in American Journal of Ophthalmology Case Reports

ISSN: 2451-9936 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Ophthalmology
Website: http://www.journals.elsevier.com/american-journal-of-ophthalmology-case-reports/

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