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Cryptococcus gattii endogenous chorioretinitis

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Purpose To present a case of subretinal abscess associated with pneumonia and meningitis caused by Cryptococcus gattii in an immunocompetent host. Observations A 37-year-old man presented with sub-acute painless unilateral… Click to show full abstract

Purpose To present a case of subretinal abscess associated with pneumonia and meningitis caused by Cryptococcus gattii in an immunocompetent host. Observations A 37-year-old man presented with sub-acute painless unilateral vision loss and a white submacular elevation. Systemic evaluation revealed a lung lesion and cerebrospinal fluid evidence of Cryptococcus gattii infection. Conclusions and importance While Crypococcus neoformans has been well described as a cause of chorioretinitis in immunocompetent and immunocompromised hosts, this report demonstrates that Cryptocuccus gattii is a related uncommon pathogen to be considered in similar presentations. Submacular surgical debridement may be challenging and OCT imaging may be helpful to detect full-thickness retinal necrosis.

Keywords: cryptococcus gattii; ophthalmology; gattii endogenous; endogenous chorioretinitis; cryptococcus

Journal Title: American Journal of Ophthalmology Case Reports
Year Published: 2022

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