The major objective of this study was to investigate the specificity of the patients and the pathogenesis of fungal endophthalmitis (FE) after abdominal surgery. Six patients with FE after abdominal surgery (patients group) were subjected to a study. Another patients who underwent abdominal surgery in the same period and suffered from sepsis due to Candida infection (a) or high fever (over 39.0°C of body temperature) indicating Candida high-titer antigen (b) but had not FE were served as control (control group). The previous reports indicated that the critical patients with malignancy or immunodeficient state tend to suffer from FE more easily than non critical patients.
Our study showed that there was a significant difference between the patients group and control group.
1) The mean age of the patients group (61.0±11.3) was significantly younger than that of control group (73.7±7.9).
2) The mean value of serum total protein of the patients group (6.8±0.7g/dl) was higher than that of the control group (6.3±0.5).
3) Five of six patients in the patients group were suffered from the benign diseases. But only two of the eleven patients in the control group were suffering from the benign diseases.
In this study we find that not the critical patients but the patients in good condition tend to be suffering from FE. We discussed our idea about the difference between the past literature and our study.