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Case of endogenous endophthalmitis caused by Streptococcus equisimilis

Authors Shinsuke Suemori, Akira Sawada, Shinya Komori, et al

Published 12 August 2010 Volume 2010:4 Pages 917—918

DOI https://doi.org/10.2147/OPTH.S10900

Review by Single-blind

Peer reviewer comments 3

Shinsuke Suemori1, Akira Sawada1, Shinya Komori1, Kiyofumi Mochizuki1, Kiyofumi Ohkusu2, Hirofumi Takemura3

1Department of Ophthalmology, 2Department of Microbiology, 3Department of General and Cardiothoracic Surgery Gifu University Graduate School of Medicine, Gifu, Japan

Abstract: We report a rare case of endogenous endophthalmitis caused by Streptococcus equisimilis. A 74-year-old woman with endocarditis developed endogenous endophthalmitis. The patient underwent emergency mitral valvuloplasty, and intravitreal and subconjunctival injections of vancomycin and meropenem. After the surgery, she was treated with topical antibiotics, ointment, intravenous gentamicin and intravenous penicillin G potassium. The causative organism was identified as S. equisimilis. S. equisimilis should be considered as a pathogen that can cause severe endogenous endophthalmitis.

Keywords: endogenous endophthalmitis, group G Streptococcus, endocarditis, Streptococcus equisimilis

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