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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 256-258

Candida albicans keratitis complicated with endophthalmitis after penetrating keratoplasty in Cogan's syndrome


Institut Clínic d'Oftalmologia (ICOF), Hospital Clínic de Barcelona, Barcelona, Spain

Correspondence Address:
Dr. Carlos Rocha-de-Lossada
Institut Clínic d'Oftalmologia (ICOF), Hospital Clínic de Barcelona, Barcelona, C/Sabino Arana, 1, Barcelona, Spain
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2068_20

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A 30-year-old woman diagnosed of Cogan's syndrome (CS) with a chronic interstitial keratitis suffered from fungal keratitis and endophthalmitis after penetrating keratoplasty (PK). Microbiological cultures revealed a Candida albicans infection of the corneal graft. The corneoscleral rim was found out to be contaminated by this fungal species. Antifungal treatment, lensectomy and PK were performed. Fungal-related postoperative complications might be considered in a torpid postoperative course after PK specifically in immunosuppressed patients such CS. Routine corneoscleral rim culture may help to identify those patients who could benefit of prophylactic treatment.


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