Anterior Uveal Fungal Abscess in an HIV Positive Patient

Endogenous endophthalmitis (EE) accounts for approximately 2% to 8% of all cases of endophthalmitis. Candida albicans abscesses in the iris and ciliary body are a rare form of presentation, with only 3 cases reported up to now. A 27- year-old woman presented an elevated lesion in the iris root of her left eye, associated with 4 + cells in the anterior chamber, hypopyon and pupillary membrane. Tests for syphilis and HIV were positive, associated with extraocular manifestations of secondary syphilis. Treatment with intravenous penicillin and HAART therapy were started, but the clinical course worsened after 7 days. Pars plana vitrectomy and abscess resection biopsy were performed. The biopsy and intraocular fluids were sent for microbiological examination. Cultures were positive for Candida albicans. The case presented is an anterior uveal abscess by Candida Albicans in an HIV-positive patient that to the authors knowledge, not previously reported in the literature.