An Unusual Case of Fungal Chorioretinitis in an Immunocompetent Individual

Abstract

Purpose: To describe a case of fungal chorioretinitis in a healthy individual. Design: Case report. Results: A 74-year-old immunocompetent man presented with peripheral chorioretinitis with hemorrhage in the superonasal quadrant. A retinal biopsy was performed. PAS and Gomori methenamine silver stain disclosed fungal structures identified as broad nonseptate hyphae with right-angle branches, probably belonging to the Zygomycete class. A systemic workup was initiated to seek the source of the infection with normal findings. The patient was successfully treated with intravitreous and intravenous amphotericine B. Conclusion: Nontraumatic fungal chorioretinitis can present in immunocompetent patients.

Keywords:

• fungal chorioretinitis
• immunocompetent
• Zygomicete