Acanthamoeba infections are difficult to diagnose and treat. We present a renal transplant patient who developed Acanthamoeba endophthalmitis on therapy with posaconazole and miltefosine for cutaneous acanthamobiasis. The patient was maintained on intracameral voriconazole injections, and oral azithromycin, fluconazole, and flucytosine. This case highlights novel presentations and treatments for acanthamoebic infection.
Keywords: Acanthamoeba; amoebiasis; endophthalmitis; miltefosine; posaconazole.
© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.