Postpartum Endogenous Endophthalmitis in a Young Immunocompetent Female by a Rare Fungus Candida ciferrii

ABSTRACT

Background

Postpartum fungal endogenous endophthalmitis is an extremely rare condition, particularly in young healthy women. It can lead to permanent vision loss.

Findings

We report a case of a 26-year-old lactating mother with a history of decreased vision in her right eye after a normal vaginal delivery. She was diagnosed with endogenous endophthalmitis caused by a very rare fungus, Candida ciferrii, on vitreous biopsy, 2 months after the initial presentation. After vitrectomy, she was treated with oral antifungal therapy and, subsequently, her visual acuity improved to 20/30 with quiet eye after 6 months of follow-up.

Conclusion

Postpartum fungal endogenous endophthalmitis can present as a diagnostic and therapeutic challenge. It warrants early diagnosis and management.

KEYWORDS:

• Fungal endogenous endophthalmitis
• postpartum
• diagnostic vitrectomy
• Candida ciferrii

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.

Authors’ contributions

PB provided ophthalmic care to the patient, drafted the manuscript and reviewed the literature. RK assisted in collection of data. MT reviewed the manuscript. PL did the microbiolgical testing. The author(s) read and approved the final manuscript.

Availability of data and materials

All data generated or analyzed during this study are included in this published article.

Consent for publication

Written informed consent was obtained from the patient for publication.