Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CASE REPORTS
A Case of Mycotic Endophthalmitis Complicated by Prolonged Ileus After Appendectomy in a Young Adult
Ken SujishiTakanobu YamadaYuji Yamamoto
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2015 Volume 40 Issue 4 Pages 764-768

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Abstract
A 22-year-old man required long-term hospitalization for ileus following appendectomy. During treatment, he developed high fever, and blood culture yielded Candida krusei. We assumed that the bacteremia was caused by bacterial translocation because of ileus, therefore antifungul medication was administered. Moreover, mycotic endophthalmitis was diagnosed by funduscopy, and long-term antifungul administration was required. To the best of our knowledge, this is the first case report of mycotic endophthalmitis from ileus in a young adult without underlying disease. Delayed treatment of mycotic endophthalmitis resulted in irreversible visual impairment. In cases of a high fever caused by ileus, mycotic endophthalmitis caused by bacteremia should be considered and an ophthalmologist should be promptly consulted.
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© 2015 Japanese College of Surgeons
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