Lee Jae Hyung, Kim Jung Sub, Park Young-Hoon
Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Obstet Gynaecol Res. 2012 Sep;38(9):1220-2. doi: 10.1111/j.1447-0756.2012.01854.x. Epub 2012 May 8.
The occurrence of endogenous Candida endophthalmitis is rare in immunocompetent patients. We report a case of a 29-year-old healthy woman who developed endogenous Candida endophthalmitis after normal spontaneous vaginal delivery. The patient was diagnosed with Candida endophthalmitis by positive vitreous culture obtained by diagnostic vitrectomy. After vitrectomy, she was treated with systemic and intravitreal antifungal therapy, and subsequently, her visual acuity recovered to 20/20 without other complications. Normal spontaneous vaginal delivery may cause endogenous Candida endophthalmitis in young healthy women. Diagnostic vitrectomy with systemic and intravitreal antifungal treatment can be useful in diagnosis and treatment of Candida endophthalmitis.
内源性念珠菌性眼内炎在免疫功能正常的患者中很少见。我们报告一例29岁健康女性在正常自然阴道分娩后发生内源性念珠菌性眼内炎的病例。通过诊断性玻璃体切割术获得的玻璃体培养阳性，该患者被诊断为念珠菌性眼内炎。玻璃体切割术后，她接受了全身和玻璃体内抗真菌治疗，随后，她的视力恢复到20/20，无其他并发症。正常自然阴道分娩可能导致年轻健康女性发生内源性念珠菌性眼内炎。诊断性玻璃体切割术联合全身和玻璃体内抗真菌治疗对念珠菌性眼内炎的诊断和治疗可能有用。
