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September 1967

Endogenous Aspergillus Uveitis Following Heart Surgery

Author Affiliations

New York
From the Department of Ophthalmology of Columbia University, and the Institute of Ophthalmology of Presbyterian Hospital, New York.

Arch Ophthalmol. 1967;78(3):354-357. doi:10.1001/archopht.1967.00980030356017

ELEVEN cases of endogenous Aspergillus infection of the eye have been reported.1-11 In eight, the fungus was identified by histologic examination alone, supported in the other three by culture of Aspergillus from sputum,2 from pleural exudate at autopsy,9 and from a thoracotomy specimen during life as well as several organs at autopsy.11 Uveitis has also been reported in a patient with an Aspergillus abscess in the lung, but no pathologic examination of the eye was possible.12

This communication reports a case of intraocular aspergillosis following heart surgery in which uveitis was the presenting sign of endocarditis with septic embolism.

Report of a Case  This 40-year-old white woman underwent open-heart surgery June 10, 1966 at another hospital for replacement of her mitral valve, deformed by rheumatic heart disease, with a Starr-Edwards prosthesis. Postoperatively, she was maintained on anticoagulants warfarin sodium (Coumadin Sodium) and digoxin. She made

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