Streptococcus dysgalactiae endocarditis presenting as acute endophthalmitis

Angelina Yong, Su Yin Lau, Tsung Woo, Jordan Li, Tuck Yong

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    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 Streptococcus dysgalactiae 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 Streptococcus dysgalactiae first presenting with endogenous endophthalmitis, the most likely source being osteomyelitis of both feet 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.

    Original languageEnglish
    Pages (from-to)56-58
    Number of pages3
    JournalInfectious Diseases Report
    Volume4
    Issue numbere16
    DOIs
    Publication statusPublished - 2012

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