TY - JOUR
T1 - Streptococcus dysgalactiae endocarditis presenting as acute endophthalmitis
AU - Yong, Angelina
AU - Lau, Su Yin
AU - Woo, Tsung
AU - Li, Jordan
AU - Yong, Tuck
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Endocarditis
KW - Endophthalmitis
KW - Group C streptococcus
KW - Group G streptococcus
KW - Streptococcus dysgalactiae
UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3892656/pdf/idr-2012-1-e16.pdf
UR - http://www.scopus.com/inward/record.url?scp=84866790061&partnerID=8YFLogxK
U2 - 10.4081/idr.2012.e16
DO - 10.4081/idr.2012.e16
M3 - Article
VL - 4
SP - 56
EP - 58
JO - Infectious Diseases Report
JF - Infectious Diseases Report
SN - 2036-7449
IS - 1
ER -