Severe Acute Pancreatitis with Candida Endophthalmitis

Severe acute pancreatitis (SAP) is a risk factor for candidemia. We report a case of candida endophthalmitis in a 67-year-old man who was admitted to a hospital due to SAP with poorly controlled diabetes. After treatment for SAP, he was diagnosed with candidemia and candida endophthalmitis. We chose...

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Bibliographic Details
Published in:Internal Medicine 2019/09/01, Vol.58(17), pp.2529-2533
Main Authors: Yamamiya, Akira, Kitamura, Katsuya, Ishii, Yu, Mitsui, Yuta, Yoshida, Hitoshi
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Antifungal agents
Antifungal Agents - therapeutic use
Blood
Blood Culture
Candida albicans
candida endophthalmitis
Candidemia
Candidemia - diagnosis
Candidemia - drug therapy
Candidiasis - complications
Candidiasis - diagnosis
Candidiasis - drug therapy
Case Report
Case reports
Diabetes mellitus
Drug Therapy, Combination
Endophthalmitis
Endophthalmitis - diagnosis
Endophthalmitis - drug therapy
Endophthalmitis - microbiology
Exudation
Eye Infections, Fungal - diagnosis
Eye Infections, Fungal - drug therapy
Fungicides
Humans
Internal medicine
Male
ocular candidiasis
Pancreatitis
Pancreatitis - complications
Plaques
Risk Factors
severe acute pancreatitis
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Summary:Severe acute pancreatitis (SAP) is a risk factor for candidemia. We report a case of candida endophthalmitis in a 67-year-old man who was admitted to a hospital due to SAP with poorly controlled diabetes. After treatment for SAP, he was diagnosed with candidemia and candida endophthalmitis. We chose appropriate antifungal agents based on the results of a bacterial culture test. After treatment, the disappearance of Candida albicans (C. albicans) from the blood stream was confirmed in blood cultures. In addition, exudative plaques consistent with a fungal infection disappeared. After a diagnosis of candidemia is made, it is important to administer appropriate antifungal therapy and perform frequent ophthalmologic examinations.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.2719-19