Candida tropicalis multifocal endophthalmitis as the only initial manifestation of pacemaker endocarditis

H. Shmuely*, I. Kremer, A. Sagie, S. Pitlik

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: To document a case of Candida tropicalis endophthalmitis as the only manifestation of pacemaker endocarditis. METHODS: We examined a 75- year-old man with diabetes mellitus who was initially examined for bilateral multifocal endophthalmitis complicating endocarditis 2 years after a permanent pacemaker for sick sinus syndrome was implanted. RESULTS: Transesophageal echocardiography showed a large vegetation with a 3-cm diameter attached to the pacing electrode in the right ventricle. Six consecutive blood cultures grew C tropicalis. CONCLUSIONS: Ocular involvement, including multifocal endophthalmitis, may occur as the only manifestation of C tropicalis endocarditis, complicating an intravenous permanent pacemaker.

Original languageEnglish
Pages (from-to)559-560
Number of pages2
JournalAmerican Journal of Ophthalmology
Volume123
Issue number4
DOIs
StatePublished - 1997
Externally publishedYes

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