Presumed candida tropicalis endophthalmitis following anterior resection

We present a case of a 75 years old patient who developed a presumed Candida Tropicalis endophthalmitis after an anterior resection for rectal carcinoma. The pathogen was identified in blood cultures but not in vitreal cultures. Systemic anti fungal treatment brought no ocular improvement. After having a vitrectomy and intravitreal antifungal agent injection gradual improvement up to full resolution took place. To the best of our knowledge, this is the first report of a post surgical candida tropicalis endophthalmitis in a non-neutropenic patient. We suggest special attention to ophthalmic complaints in patients with systemic candidemia and prompt treatment according to ocular findings.