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Keywords: Lymphoma, Endophthalmitis, Aspergillus
To the Editor,
A 40-year-old man with angioimmunoblastic T-cell lymphoma, on palliative chemotherapy with lenalidomide at 20 mg, developed pancytopenia and progressive loss of vision and conjunctival swelling over the right eye after the second cycle (Figure 1). Brain magnetic resonance imaging with orbit demonstrated endophthalmitis. A pus sample was inoculated onto routine bacteriological media and Sabouraud's dextrose agar (SDA) for detection of fungal pathogens. On the 4th day, fungal growth was observed on SDA. The surface of the fungal colony was initially white; it turned to a bluegreen color and had a powdery texture. Lactose phenol cotton blue mount showed hyaline septate hyphae with short conidiophores and vesicle-bearing chains of round conidia covering the upper...