Infective Endocarditis Presenting as Endogenous Endophthalmitis Secondary to Streptococcus agalactiae in a Healthy Adult: Case Reports and Literature Review

Infection & chemotherapy
Yu Ra SimYoung Kyung Yoon

Abstract

Endogenous endophthalmitis secondary to group B Streptococcus (GBS) is extremely rare, particularly in healthy adults. However, the visual prognosis is poor. We report the first South Korean case of GBS infective endocarditis presenting as endogenous endophthalmitis and skin and soft tissue infection. Cultures of blood, vitreous humor, and pus from skin aspirates yielded a penicillin-susceptible serotype V strain of Streptococcus agalactiae. After 6 weeks, the patient completely recovered from GBS infective endocarditis. However, despite early antibiotic treatment and early surgical intervention, the patient's right eye developed phthisis bulbi and was a candidate for evisceration.

References

Jan 1, 1985·Archives of Internal Medicine·B P FarberJ S Dummer
Apr 15, 1994·American Journal of Ophthalmology·H P NagelbergH A Woodcome
Apr 1, 1996·Journal of the American Geriatrics Society·M A Siddiqui, R M Lester
Sep 28, 1998·Japanese Journal of Ophthalmology·K MatsuoK Kashima
May 29, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A SambolaJ M Gatell
Jul 10, 2003·Survey of Ophthalmology·Timothy L JacksonMiles R Stanford
Aug 19, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Morven S Edwards, Carol J Baker
Jun 2, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Tami H SkoffStephanie J Schrag
Jul 3, 2013·BMJ Case Reports·Norman SaffraMonica Ghitan

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