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Table 1 Endogenous C. dubliniensis endophthalmitis cases

From: Candida dubliniensis endophthalmitis: five cases over 15 years

Case (reference)

Sex, age

Comorbidities

Site

Referral pathway

Initial visual acuity

Antifungal sensitivity

Antifungal treatment and surgery

Final visual acuity

Sedeek, 2008 [4]

M, 38

Nil

Right eye

Not reported

VA RE - HM, LE - 20/20

Fluconazole, voriconazole, caspofungin, amphotericin B

Urgent lensectomy/vitrectomy, IVI vancomycin/ceftazidime. IVI/topical amphotericin B, PO voriconazole (no duration)

Not reported

Pelegrin, 2010 [5]

M, 41

IVDU, HIV+, hepatitis B and C, fever, neutropenia

Right eye

Presented to eye emergency

VA RE - 20/200, LE - 20/400

Azoles

Vitrectomy, IVI amphotericin B. Systemic voriconazole then PO fluconazole for 2 months

VA RE - 20/60

Espinosa-Heidmann, 2012 [6]

M, 27

IVDU, onychomycosis

Left eye

Presented to eye clinic

VA LE - 20/400

Fluconazole and all other agents tested

Toxoplasma treatment. IV fluconazole. Vitrectomy/IVI amphotericin B. PO fluconazole for 6 weeks

VA LE - 20/80

Present case 1

M, 50

IVDU, hepatitis C

Right eye

Walk-in to eye outpatients

VA RE - CF, LE - 20/20

Fluconazole, 5-flucytosine, voriconazole, amphotericin B

Empirical IVI amphotericin B. Vitrectomy. 2× IVI amphotericin B. PO voriconazole for 46 days

VA RE - 20/30, LE - 20/16

Present case 2

M, 28

IVDU

Right eye

Walk-in to eye outpatients

VA RE - 20/200, LE - 20/20

Fluconazole, 5-flucytosine, voriconazole

Urgent vitrectomy/IVI voriconazole. Empirical systemic voriconazole. 3× IVI amphotericin B. Vitrectomy/buckle/gas. PO fluconazole for 42 days

VA RE - 20/60, LE - 20/20

Present case 3

M, 34

IVDU, hepatitis C, endocarditis, PICC

Right eye

Inpatient referral

VA RE - HM, LE - 20/60

Fluconazole, 5-flucytosine, voriconazole

Empirical fluconazole, IVI amphotericin B. 2× IVI amphotericin B. Vitrectomy. PO voriconazole for 35 days. Vitrectomy/buckle/gas

VA RE - HM, LE - 20/20

Present case 4

M, 55

T2DM, hepatitis C, liver cirrhosis, PICC

Bilateral

Inpatient referral

VA RE - 20/200, LE - 20/200

Fluconazole, 5-flucytosine, voriconazole, amphotericin B

Empirical fluconazole. Right vitrectomy. 10× IVI voriconazole RE. 4× IVI voriconazole LE. Left vitrectomy. PO fluconazole for 42 days

VA RE - 20/60, LE - 20/60

Present case 5

F, 21

IVDU, hepatitis C

Left eye

Walk-in to eye outpatients

VA RE - 20/18, LE - 20/200

Fluconazole, 5-flucytosine, voriconazole, amphotericin B

Empirical voriconazole, IVI amphotericin B. 8× IVI voriconazole. Vitrectomy. PO fluconazole for 36 days

VA RE - 20/16, LE - 20/30

  1. Abbreviations: CF counting fingers, F female, HM hand movements, IVDU intravenous drug use, IVI intravitreal injection, LE left eye, M male, PICC peripherally inserted central catheter, PO per oral, RE right eye, T2DM type 2 diabetes mellitus, VA visual acuity.