Secondary glaucoma associated with bilateral Aspergillus niger endophthalmitis in an HIV-positive patient: case report

• Autor(a) principal: Paula,Jayter Silva
• Data de Publicação: 2006
• Outros Autores: Bryk Junior,Agostinho, Lauretti Filho,Argemiro, Romão,Erasmo
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Arquivos brasileiros de oftalmologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492006000300020
• topic: Aspergillus niger/isolation & purification; Endophthalmitis/complications; Glaucoma/etiology; Eye infections, fungal; HIV; Immunocompromised host; Case reports [publication type]

Aspergillus endophthalmitis is usually related to systemic or local dissemination in immunosuppressed subjects. The authors report a rare case of severe bilateral glaucoma secondary to an intraocular infection with Aspergillus niger, in the absence of any detectable focus of aspergillosis, in an HIV-infected patient. There were no confirming signs of injection drug use, and the agent was isolated after inoculation in experimental animals. This case shows that Aspergillus endophthalmitis should be considered in non-injecting drug users and HIV-infected patients even in the absence of systemic aspergillosis.