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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Endogenous endophthalmitis during pregnancy: Case report
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Vol. 95. Issue 10.
Pages 512-515 (October 2020)
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Vol. 95. Issue 10.
Pages 512-515 (October 2020)
Short communication
Endogenous endophthalmitis during pregnancy: Case report
Endoftalmitis endógena durante el embarazo: a propósito de un caso
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M. García Roa, A. Arias Gómez
Corresponding author
, R. García Franco, P. Ramírez Neria
Servicio de Retina y Vítreo, Instituto de la Retina del Bajío, Santiago de Querétaro, Mexico
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Abstract

Endogenous endophthalmitis is a disease that potentially threatens vision. It is produced by the haematogenous spread of microorganisms from a septic focus. It is a rare condition that is related to debilitating diseases, immunosuppression states, and invasive procedures. Endogenous endophthalmitis during pregnancy is even rarer, and has become a challenge due to the safety and side effects of the local and systemic treatments.

The case is presented of a pregnant woman with a history of complicated appendicitis, septic shock, and thrombocytopenia that presented endogenous endophthalmitis due to Candida albicans in the immediate post-operative period. This required the use of intravitreal and systemic antimycotics and vitrectomy. She made a significant anatomical and functional recovery, and without any maternal or foetal side effects.

Keywords:
Endophthalmitis
Endogenous
Candida albicans
Pregnancy
Vitrectomy
Resumen

La endoftalmitis endógena es una enfermedad que amenaza potencialmente la visión en los pacientes que la padecen. Es producida por la diseminación hematógena de microorganismos desde un foco séptico y se trata de una entidad poco frecuente que se relaciona con enfermedades debilitantes, estados de inmunosupresión y procedimientos invasivos. La endoftalmitis endógena durante el embarazo es aún más rara y se ha convertido en un desafío por la seguridad y efectos secundarios de los tratamientos locales y sistémicos que requiere para su manejo.

Presentamos el caso de una mujer embarazada con antecedente de apendicitis complicada, shock séptico y trombocitopenia que presentó endoftalmitis endógena por Candida albicans en el post operatorio requiriendo aplicación de antimicóticos intravítreos, sistémicos y vitrectomía con una recuperación visual y anatómica importante, sin efectos secundarios maternos y ni fetales.

Palabras clave:
Endoftalmitis
Endógena
Candida albicans
Embarazo
Vitrectomía

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