RESUMO
The incidence of candidaemia is increasing on a global scale. Secondary intraocular involvement is a rare but serious complication, which can cause considerable visual damage. Hence, current national and international guidelines recommend ophthalmological examination of all patients with verified candidaemia in order to ensure adequate therapy and reduce the risk of visual impairment. We present a case illustrating that initial symptoms and findings of ocular candidiasis may often be subtle which emphasizes the importance of consistent adherence to these guidelines.
Assuntos
Candidemia/diagnóstico , Infecções Oculares Fúngicas/diagnóstico , Antifúngicos/administração & dosagem , Antifúngicos/uso terapêutico , Candida albicans/isolamento & purificação , Candidemia/tratamento farmacológico , Coriorretinite/diagnóstico , Coriorretinite/tratamento farmacológico , Coriorretinite/microbiologia , Infecções Oculares Fúngicas/tratamento farmacológico , Feminino , Fluconazol/administração & dosagem , Fluconazol/uso terapêutico , Angiofluoresceinografia , Humanos , Pessoa de Meia-IdadeRESUMO
Vogt-Koyanagi-Harada syndrome (VKHS) is an inflammatory syndrome affecting melanocyte-containing organs. The clinical onset is often acute with neurological and ophthalmological symptoms and there is considerable risk of sequelae if the condition is not promptly diagnosed and treated. We present a case illustrating that VKHS is a rare but important differential diagnosis of viral meningitis.