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Table 1 Review of additional reported cases of endogenous endopthalmitis caused by S. apiospermum not reviewed by Larocco et al.

From: Scedosporium apiospermum endopthalmitis treated early with intravitreous voriconazole results in recovery of vision

Author

Year

Gender

Age

Comorbidities

Laterality

Culture source

Treatment

Other sites of infection

Outcome

McKelvie et al. [9]

2001

F

38

AML, neutropenia

OU

Blood and vitreous

Intraocular AmpB, Foscarnet, Vanco (dx species postmortem)

Blood

CF

Figueroa et al. [13]

2004

M

44

Post-kidney transplant; on mycophenolate, tacrolimus, and corticosteroids

OS

Vitreous

Vitrectomy, PO Vori

None

CF

Larocco et al. [12]

2005

F

28

Presumed sinusitis, sepsis 2/2, pseudomemebranous colitis

OD

Vitreous

AmpB IVT and systemic, followed by itraconazole when dx of S. apiospermum was made

None

Evisceration

Musk et al. [4]

2006

M

57

Lung transplant due to alpha1-anti-trypsin deficiency, on cyclosporine, azothioprine, and prednisolone

OS

Vitreous and epididymis

PO, IVT, and topical Vori

Lung and skin nodules, epididymoorchitis

Poor vision, remains on voriconozole with no evidence of disease

M

63

Lung transplant for interstitial pneumonitis on high-dose steroids

OS

PCR retinal biopsy, vitreous culture

Intravitreous Vori and AmpB; PO Vori

Kidney, urine

No recovery of vision, survived

Jain et al. [17]

2007

F

59

Pre-B cell acute LL, neutropenia

OS

Vitreous

Vori IVT and PO

Blood and lung

Enucleation, death from sepsis; NLP

 

F

37

Pre-B cell acute LL

OS

Vitreous

IVT voriconozole, AmpB

Lung

Endopthalmitis stabilized; multiorgan system failure

F

21

Wegener’s granulomatosis; corticosteroids and cyclophosphamide

OU

Vitreous

IVT AmpB, itraconazole

None

No visual recovery, CNS involvement

Chen et al. [7]

2007

M

56

Post-lung transplant; immunosuppresive Rx

OS

Vitreous

Vitrectomy, IV and IVT Vori

None

Enucleation; secondary scleritis; LP

 

M

62

Post-lung transplant

OS

Vitreous

PO Vori, IV AmpB, PO terbinafine, IVT Vori

None

Enucleation; LP

Shankar et al. [5]

2007

M

61

DM, HTN

OD

Aqueous aspirate

Anterior chamber wash and IVT Vori

None

Resolution of vitreous exudates

Ikewaki et al. [11]

2009

M

58

DM; sub-Tenon’s triamcinolone injection

OS

Vitreous

Topical and IVT irrigation with Vori

None

Improvement to baselineImprovement to baseline (0.02 to 0.5)

Present case

2011

M

83

DM

OD

Vitreous

IV and IVT Vori

None

Stable at 20/40

  1. AmpB amphotericin B, Vori voriconozole, IVT intravitreal, DM diabetes mellitus, HTN hypertension, AML acute myeloid leukemia, PO per oral, dx diagnosis