Endogenous endophthalmitis after severe burn: A case report

Purpose: this report describes a rare ocular complication in a burned patient. case report: a 12-year-old girl was admitted to our burn center because of full thickness burn of 46% of her total body surface area. on the 23rd day of her stay,she complained of pain and decreased visual acuity in the right eye. examination of this eye revealed panuveitis,dense vitritis,and a large chorioretinal abscess in the macular area; her best corrected visual acuity (bcva) in this eye was hand motion. the left eye was completely normal. a smear and culture of the vitreous biopsy revealed the presence of candida albicans. with a diagnosis of endogenous endophthalmitis due to fungal infection,the patient was treated with systemic fluconazole,intravitreal injection of amphotericin b,and pars plana deep vitrectomy. after 6 months,the patient's final ocular examination revealed bcva of counting fingers at two meters,a large macular scar,and quiescence of the intraocular infection. conclusion: burn patients treated with broad-spectrum antibiotics are at risk of candidemia and its complications,including endogenous endophthalmitis. early diagnosis of endogenous endophthalmitis in high risk patients could prevent visual loss. © 2017 journal of ophthalmic and vision research published by wolters kluwer - medknow.