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KMID : 0360220100510121671
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Journal of the Korean Ophthalmological Society
2010 Volume.51 No. 12 p.1671 ~ p.1675
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Cerebral Basilar Artery Mycotic Aneurysm Associated With Aspergillus Endogenous Endophthalmitis
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Lee Mee-Yon
Whang Woong-Joo
Lee Won-Ki
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Abstract
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Purpose: To report a case of mycotic aneurysm of the cerebral basilar artery associated with bilateral endogenous aspergillus endophthalmitis.
Case summary: A 41-year-old man with no underlying disease presented with decreased vision in both eyes. The patient was diagnosed with bilateral endogenous endophthalmitis, and the authors performed a vitrectomy and lensectomy on the right eye. Hyphae were detected in the vitreous sample, and systemic amphotericin was administered. Three days after the operation, the patient became comatose due to a subarachnoid hemorrhage. Aspergillus antigen was detected in the vitreous sample and in the cerebrospinal fluid. Subarachnoid hemorrhage was due to the rupture of a mycotic aneurysm of the cranial basilar artery, complicated by aspergillus infection of the central nervous system.
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KEYWORD
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Aspergillus endophthalmitis, Endogenous endophthalmitis, Mycotic aneurysm
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