Infective Endocarditis Presenting as Endogenous Endophthalmitis Secondary to Streptococcus agalactiae in a Healthy Adult: Case Report and Literature Review.
- Author:
Yu Ra SIM
1
;
Ye Jin LEE
;
Seung Woon PARK
;
Sang Hyun KIM
;
Ju Hee CHOI
;
Jung Yoon CHOI
;
Min Ja KIM
;
Jang Wook SOHN
;
Jaemoon AHN
;
Young Kyung YOON
Author Information
- Publication Type:Case Report
- Keywords: Streptococcus agalactiae; Endophthalmitis; Endocarditis
- MeSH: Adult*; Endocarditis*; Endophthalmitis*; Humans; Patient Rights; Prognosis; Serogroup; Skin; Soft Tissue Infections; Streptococcus agalactiae*; Streptococcus*; Suppuration; Vitreous Body
- From:Infection and Chemotherapy 2017;49(4):286-292
- CountryRepublic of Korea
- Language:English
- 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.