AlBloushi Abdulrahman F, Almousa Abdullah N, Alkheraiji Norah F, Abu El-Asrar Ahmed M
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Middle East Afr J Ophthalmol. 2019 Aug 26;26(2):110-113. doi: 10.4103/meajo.MEAJO_284_18. eCollection 2019 Apr-Jun.
Postpartum endogenous fungal endophthalmitis in otherwise healthy females is extremely rare disease. We report a case of a 25-year-old female patient referred with a history of decreased vision in her right eye 1 month after uncomplicated vaginal delivery. She presented with multifocal chorioretinal infiltrates. The patient showed persistent inflammation in her right eye then after. Systemic workup was unremarkable apart from a history of vaginal discharge during peripartum period. Vaginal swap confirmed the presence of . Culture of the vitreous sample confirmed the growth of . The patient was managed with intravitreal amphotericin B in addition to systemic antifungal treatment followed by pars plana vitrectomy. The patient achieved 20/40 vision with quiet eye after 6 months of follow-up.
产后内源性真菌性眼内炎在其他方面健康的女性中是一种极其罕见的疾病。我们报告一例25岁女性患者，在顺产无并发症1个月后因右眼视力下降前来就诊。她表现为多灶性脉络膜视网膜浸润。此后该患者右眼持续存在炎症。除围产期有阴道分泌物病史外，全身检查无异常。阴道拭子检查证实存在……玻璃体样本培养证实……生长。该患者除接受全身抗真菌治疗外，还接受了玻璃体内注射两性霉素B治疗，随后进行了玻璃体切割术。随访6个月后，患者右眼视力达到20/40，眼部情况稳定。
