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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Wright, David Wood, Megan Witherspoon, Paul |
| Description | Author Affiliation: Wood M ( Department of General Surgery, Southern General Hospital, Glasgow, Lanarkshire, UK.); Wright D ( Department of General Surgery, Southern General Hospital, Glasgow, Lanarkshire, UK.); Witherspoon P ( Department of General Surgery, Southern General Hospital, Glasgow, Lanarkshire, UK.) |
| Abstract | We present a case of endogenous fungal endophthalmitis arising as a complication of fungal septicaemia following gastrointestinal surgery, and subsequent treatment with endoluminal vacuum therapy (Endo-SPONGE, B Braun Medical Ltd). Our patient developed a pre-sacral collection due to an anastomotic leak post ileoanal pouch formation. Despite treatment with Endo-sponges and antibiotics, the patient suffered recurrent sepsis and the cavity failed to reduce in size. He developed red eyes and blurred vision, leading to the diagnosis of fungal endophthalmitis. Extended fungal cultures of the Endo-sponges and pouch effluent revealed Candida spp. This case is the first report of fungal endophthalmitis associated with Endo-sponge use and highlights the importance of fungal cultures in patients with ongoing sepsis. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Candida Albicans Candida Tropicalis Candidiasis Complications Endophthalmitis Microbiology Proctocolectomy, Restorative Adverse Effects Surgical Sponges Adolescent Anastomotic Leak Etiology Therapy Colitis, Ulcerative Surgery Humans Male Sepsis Vacuum Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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