A rare case of bilateral XXXX .

@entity1018 @entity1 @entity227 @entity2194 @entity2176 @entity340 @entity6 @entity2379 @entity2380 @entity1963 @entity3041 @entity281 @entity364 @entity158 @entity18111 @entity47 @entity2885 @entity3225 @entity5505 @entity130
@entity3225 is a devastating inflammatory condition of the intraocular cavities that may result in irreparable @entity1018 and rapid destruction of the eye. Almost all cases in the literature have shown an identified source causing @entity3225 as a result of direct extension of disease. We present a rare case of bilateral @entity3225 . A 72-year-old @entity1 with a history of @entity6 , @entity1963 , and recent culture-positive @entity2885 with @entity3041 status post-surgical stent placement presented with difficulty opening her eyes. She complained of @entity227 (20/200) with @entity158 and @entity2194 - right worse then left. Examination demonstrated @entity364 in both retinas consistent with bilateral @entity364 . Bilateral vitreous taps for cultures and staining were performed. @entity1 was given intravitreal injections of @entity2379 , @entity2176 , @entity5505 , and started on oral @entity2380 . @entity1 was scheduled for vitrectomy to decrease organism burden and to remove loculated areas of @entity281 that would not respond to systemic antifungal agents. Four weeks after initial presentation, the fungal cultures revealed mold growth consistent with aspergillus. @entity1 was subsequently started on @entity18111 and @entity2380 was discontinued due to poor efficacy against aspergillus. Further workup was conducted to evaluate for the source of @entity281 and seeding. Transthoracic cardiogram was unremarkable for any @entity47 or @entity340 . MRI of the orbits and sinuses did not reveal any mass lesions or bony destruction. CT of the chest was unremarkable for @entity281 . @entity3225 may occur because of one of these several mechanisms: hematogenous dissemination, direct inoculation by @entity130 , and contamination during surgery. Our @entity1 's cause of @entity3225 was through an unknown iatrogenic seed.
