J Korean Ophthalmol Soc.  2012 Aug;53(8):1190-1193. 10.3341/jkos.2012.53.8.1190.

A Case of Endogenous Streptococcus Mitis Endophthalmitis in a Patient with Staphylococcus Aureus Sepsis

• Lee YW
• Ha MM
• Han SY
• Bae JH

• KMID: 2215967
• DOI: http://doi.org/10.3341/jkos.2012.53.8.1190

Abstract

PURPOSE
To report a case of endogenous endophthalmitis due to Streptococcus mitis in a patient with Staphylococcus aureus sepsis.
CASE SUMMARY
A 77-year-old male complained of sudden visual loss and ocular pain in his right eye and was treated with intravenous antibiotics for Staphylococcus aureus sepsis. With a diagnosis of endogenous endophthalmitis, the patient received pars plana vitrectomy and intravitreal injection of antibiotics. Vitreous fluid was obtained before surgery, and the organism was identified as Streptococcus mitis. Twenty-one days after the surgery, intraocular inflammation was stabilized, and visual acuity was improved from light perception to 20/60.
CONCLUSIONS
Appropriate sampling and culture of vitreous fluid are important for the diagnosis of endogenous endophthalmitis. The possibility that the causative organism of endogenous endophthalmitis may be different from the result of blood culture should be considered.

Keyword

Endogenous endophthalmitis; Sepsis; Staphylococcus aureus; Streptococcus mitis

MeSH Terms

Aged
Anti-Bacterial Agents
Endophthalmitis
Eye
Humans
Inflammation
Intravitreal Injections
Light
Male
Sepsis
Staphylococcus
Staphylococcus aureus
Streptococcus
Streptococcus mitis
Visual Acuity
Vitrectomy
Anti-Bacterial Agents

Figure

• 

  Figure 1 B-scan ultrasonography. (A) On the first visit, vitreous opacity was noted in the right eye. (B) One day after pars plana vitrectomy, vitreous opacity was much decreased.

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