Filamentary vitreous condensations of Fusarium petroliphilum endophthalmitis

A 54-year-old diabetic man with acute myeloid leukemia underwent chemotherapy. He was diagnosed with uveitis and underwent a vitreous biopsy. Two weeks later, he was referred for progressively decreased vision to counting fingers. Sit-lamp examination revealed corneal edema with hypopyon [Fig. 1a]. During vitrectomy, the fundus demonstrated tree-branch-like vitreous condensations [Fig. 1b]. Blood and vitreous samples showed growth of Fusarium petroliphilum [Fig. 1c and d]. The patient was treated with intravenous and intravitreal amphotericin B and voriconazole.[1,2] Six months later, visual acuity was hand motions due to corneal opacity. Ophthalmologists should suspect endogenous Fusarium endophthalmitis in leukemia patients with ocular inflammation.[1,2]Figure 1: Fusarium petroliphilum endophthalmitis. (a) Sit-lamp examination showing corneal edema with hypopyon. (b) Fundus image showing tree-branch-like vitreous condensations. (c) Macroscopic image of Fusarium petroliphilum on Sabouraud dextrose agar. (d) Microscopic image showing clumps of broadly reniform microconidia at the tip of the conidiophoreDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.