Severe Acute Pancreatitis with Candida Endophthalmitis

Intern Med. 2019 Sep 1;58(17):2529-2533. doi: 10.2169/internalmedicine.2719-19. Epub 2019 May 22.

Abstract

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.

Keywords: candida endophthalmitis; candidemia; ocular candidiasis; severe acute pancreatitis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Antifungal Agents / therapeutic use
  • Blood Culture
  • Candida albicans
  • Candidemia / diagnosis*
  • Candidemia / drug therapy
  • Candidiasis / complications*
  • Candidiasis / diagnosis
  • Candidiasis / drug therapy
  • Drug Therapy, Combination
  • Endophthalmitis / diagnosis
  • Endophthalmitis / drug therapy
  • Endophthalmitis / microbiology*
  • Eye Infections, Fungal / diagnosis*
  • Eye Infections, Fungal / drug therapy
  • Humans
  • Male
  • Pancreatitis / complications*
  • Risk Factors

Substances

  • Antifungal Agents