Infective endocarditis presenting as endogenous endophthalmitis secondary to Streptococcus agalactiae in a healthy adult: Case report and literature review

Yu Ra Sim, Ye Jin Lee, Seung Woon Park, Sang Hyun Kim, Ju Hee Choi, Jung Yoon Choi, Ja Kim Min, Jang Wook Sohn, Jaemoon Ahn, Young Kyung Yoon

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)286-292
Number of pages7
JournalInfection and Chemotherapy
Volume49
Issue number4
DOIs
Publication statusPublished - 2017 Dec 1

Keywords

  • Endocarditis
  • Endophthalmitis
  • Streptococcus agalactiae

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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