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내과적 과거력이 없는 건강한 환자에서 사랑니 발치 후 발생한 칸디다 안내염의 증례보고

Other Titles
 A Case of Fungal Endophthalmitis after Having Received Extraction of Wisdom Tooth in Healthy Woman 
 이민우  ;  최은영  ;  이성철  ;  김민 
 Journal of the Korean Ophthalmological Society (대한안과학회지), Vol.59(3) : 282-287, 2018 
Journal Title
 Journal of the Korean Ophthalmological Society (대한안과학회지) 
Issue Date
Candida endophthalmitis ; Diagnostic vitrectomy ; Endogenous endophthalmitis
Purpose: To report a case of candida endogenous endophthalmitis in healthy women who had received extraction of wisdom tooth. Case summary: A 65-year-old medically healthy woman who had received extraction of wisdom tooth two weeks ago, presented with floater symptoms in her left eye. Best-corrected visual acuity was 20/40 and intraocular pressure was 17 mmHg in her left eye. Inflammatory cells were found in the anterior chamber and vitreous. Fluorescein angiography showed multiple hypofluorescence without vascular leakage. With provisional diagnosis of intermediate uveitis, she was prescribed oral steroid for two weeks. After that, inflammatory cells in anterior chamber was reduced but vitreous imflammatory cell was increased and fundus examination detected newly developed infiltrated lesion at superotemporal area. The patient was presumed to have fungal endophthalmitis and immediate intravitreal voriconazole injection was performed. Three days after intravitreal voriconazole injection, diagnostic vitrectomy and intravitreal voriconazole injection were performed. Vitreous cultures revealed the growth of Candida albicans. Despite the treatment, inflammatory response in anterior chamber and vitreous rapidly increased and visual acuity was decreased to hand movement. We changed anti-fungal agent, voriconazole to Amphotericin B. Additional three-time intravitreal injection was done and therapeutic vitrectomy with oil injection were performed. After treatment, the patient’s fundus markedly improved and inflammatory response was decreased. Conclusions: This case report shows candida endophthalmitis in healthy woman who had received extraction of wisdom tooth. So to diagnose endophthalmitis, patient’s medical history should carefully be checked including dental care history who presented with vitreous inflammation and inflammatory infiltrated lesion at fundus.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Lee, Min Woo(이민우) ORCID logo https://orcid.org/0000-0001-9666-7990
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
Choi, Eun Young(최은영) ORCID logo https://orcid.org/0000-0002-1668-6452
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