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December 1963

Endogenous Fungal EndophthalmitisClinical Course in a Successfully Treated Case

Author Affiliations

From the Department of Ophthalmology, Jefferson Medical College Hospital.

Arch Ophthalmol. 1963;70(6):772-774. doi:10.1001/archopht.1963.00960050774008

It is the purpose of this report to describe the course of the ocular changes found in a patient with proven Candida septicemia and to emphasize the clinical features of the lesions which appeared to be characteristic of endogenous mycotic infection. Although oculomycosis of exogenous origin has been an increasingly frequent complication of intraocular surgery and trauma,1 endogenous endophthalmitis due to mycotic organisms is rarely recognized. Almost all eyes with endogenous infections have been lost because of extensive invasion and destruction of the retina and vitreous. No reports have been found which describe the healing of the characteristic lesions following successful treatment.

Case Report  A 36-year-old Negro male was admitted to the hospital complaining of painful perirectal and testicular swelling and lower abdominal pain of three days duration. He had a recent history of boils on his face and axillae, polydypsia, polyuria, anorexia, and a 30-pound weight loss. The

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