Intravenous Drug Use-Associated Scopulariopsis Endophthalmitis Treated with Systemic and Intravitreal Voriconazole

Intravenous Drug Use-Associated Scopulariopsis Endophthalmitis Treated with Systemic and Intravitreal Voriconazole

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Purpose: To report a case of intravenous (i.v.) heroin use-associated endogenous endophthalmitis caused by Scopulariopsis fungal species, and its response to intravitreal and oral voriconazole treatments.Patient: A 21-year-old-female with Transformers TCG chronic hepatitis C and i.

v.heroin use presented with subacute decreased vision to hand motion in her left eye.Results: Endogenous fungal endophthalmitis caused by Scopulariopsis was confirmed by vitreous biopsy.The patient improved clinically after vitrectomy with intravitreal voriconazole and 3 weeks of oral voriconazole.

The final vision was 20/60 after 6 months.Conclusions: Scopulariopsis is a rare cause of endophthalmitis, and is often difficult 5 Piece Queen Upholstered Bedroom to treat due to its resistance to commonly used antifungals.This case is the first report of Scopulariopsis endophthalmitis secondary to i.v.

drug use.