Abstract
We reported a case of candidiasis spondylodiscitis and fungal endophthalmitis following surgery for ileus.
A 54-year-old man underwent laparotomy for ileus twice. The patient had a continuous high fever from the first postoperative day. He was transferred to our hospital for treatment of shock. A fungus was detected at the tip of a catheter used for intravenous hyperalimentation, but since blood cultures taken on several occasions were negative, no antimycotic agent was administered. Seven days after transference lumbago appeared Candida tropicalis was isolated from the disk. A diagnosis of candidiasis spondylodiscitis was made, antimycotic therapy was started, and a discectomy was performed. Symptoms of blurred vision appeared, and the fundus oculi was found to be the site of fungal endophthalmitis. We took deepseated mycosis into consideration in the treatment since the patient was an immunocompromised host.
