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Endogenous Rhodotorula minuta and Candida albicans endophthalmitis in an injecting drug user
  1. ANTONIO PINNA,
  2. FRANCESCO CARTA
  1. STEFANIA ZANETTI,
  2. SILVANA SANNA,
  3. LEONARDO A SECHI
  1. Institute of Ophthalmology, University of Sassari, Sassari, Italy
  2. Department of Biomedical Sciences
  3. Section of Experimental and Clinical Microbiology
  4. University of Sassari, Sassari, Italy
  1. Accepted for publication 14 February 2001

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Editor,—Although still uncommon, endogenous fungal endophthalmitis has increased notably owing to widespread use of immunosuppressive therapy, hyperalimentation, and injecting drug use.Candida is the most common causative organism with isolated cases of Aspergillusreported.1 Rhodotorula species are ubiquitous, airborne, asporogenous yeasts recovered from food, air, soil, water, gastrointestinal tracts, and skin.Rhodotorula spp are usually environmental saprophytes; however, they may seldom cause both systemic and ocular infections, especially in immunocompromised patients.2Reported ocular infections include chronic dacryocystitis,3 keratitis,4 chronic postoperative endophthalmitis,5 and corneal lamellar graft infection.6 We report a case of endogenousRhodotorula minuta andCandida albicans endophthalmitis in an injecting drug user.

CASE REPORT

A 27 year old man was admitted with a 3 month history of progressive visual loss and intraocular inflammation in his right eye. He had initially been examined by other ophthalmologists who observed two large yellow-white lesions with fluffy borders in the posterior pole, diagnosed toxoplasmic …

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