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.