Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
Streptococcus dysgalactiae endocarditis presenting as acute endophthalmitis
oleh: Angelina Su-Min Yong, Su Yin Lau, Tsung Han Woo, Jordan Yuanzhi Li, Tuck Yean Yong
Format: | Article |
---|---|
Diterbitkan: | MDPI AG 2012-02-01 |
Deskripsi
Endogenous endophthalmitis is a rare ocular infection affecting the vitreous and/or aqueous humours. It is associated with poor visual prognosis and its commonest endogenous aetiology is infective endocarditis. The causative organisms of endogenous endophthalmitis complicating endocarditis are mainly Group A or B streptococci. The identification of Group C and G streptococci such as <em>Streptococcus dysgalactiae </em>is comparatively uncommon and has only been reported in a few case reports or series. We therefore report a case of infective endocarditis caused by <em>Streptococcus dysgalactiae </em>first presenting with endogenous endophthalmitis, the most likely source being bilateral feet osteomyelitis in a patient with type I diabetes. The patient was treated with a course of intravenous benzylpenicillin, intravitreal antibiotics, bilateral below knee amputations and mitral valve replacement. She survived all surgical procedures and regained partial visual acuity in the affected eye.