Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Candida albicans Endophthalmitis after Extracorporeal Shock Wave Lithotripsy in a Patient with Liver Cirrhosis
Nobuyuki Toshikuni, Kazuhiro Ujike, Toshihiro Yanagawa, Tatsuhito Suga, Toshinari Shimizu, Yuji Kusuda, Masayuki Okamoto, Takayoshi Ogawa, Shiro Yuasa
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Keywords: Candida albicans, fungemia, endophthalmitis, extracorporeal shock wave lithotripsy, liver cirrhosis
JOURNAL OPEN ACCESS

2006 Volume 45 Issue 22 Pages 1327-1332

[Correction] Intern. Med. Vol.46 (2007) No.2 p.116
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Abstract

A 69-year-old man was referred to our hospital because of hepatic failure after extracorporeal shock wave lithotripsy. The diagnosis of urinary tract infection and fungemia due to Candida albicans associated with decompensated liver cirrhosis and renal failure was made. Bilateral endogenous endophthalmitis developed during hospitalization. Candidemia, endophthalmitis and hepatorenal failure improved with intensive therapy. After discharge, endophthalmitis of the left eye relapsed and vitrectomy was performed. Clinicians should be aware that fungemia complicated by endophthalmitis can be caused by extracorporeal shock wave lithotripsy. There might be a risk of such complications among patients with liver cirrhosis in an immunocompromised state.

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© 2006 by The Japanese Society of Internal Medicine
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