Group B Streptococcus endogenous endophthalmitis: Case reports and review of the literature☆
Section snippets
Materials and methods
We reviewed the records of all patients seen at the Singapore National Eye Centre with a diagnosis of GBSEE between January 1994 and September 2001. The ocular and systemic characteristics, treatment, and final outcome of cases with GBSEE were studied. A MEDLINE literature search of all years available (1966 through 2001) was performed, and all reported cases were reviewed and tabulated (Table 1), together with our series of patients, in this report.
Patient 1
A 55-year-old, previously fit Malay male (shown as patient 18 in Table 1) reported floaters in the left eye of 2 days duration, followed by sudden, painless loss of vision. He had multiple joint pains and swelling accompanied by febrile episodes for 2 weeks. At presentation, his visual acuities were 20/40 in the right eye and light perception (LP) in the left eye. The right eye was normal. The left conjunctiva was injected and the anterior chamber was shallow. Anterior chamber cells, fibrin,
Discussion
Endogenous endophthalmitis is an uncommon, devastating disease, often associated with poor visual prognosis. Frequently, an associated underlying septic focus, such as a liver abscess, cellulitis, or urinary tract infection, is present.1, 2, 3 It usually occurs in immunocompromised patients, but may occur in healthy individuals.4, 5 A literature search from 1966 through 2001 using MEDLINE revealed that GBS as a cause of EE is rare. In 1986, Greenwald et al3 published a review of 72 cases of
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2016, Journal of Current OphthalmologyCitation Excerpt :Endogenous endophthalmitis is usually associated with systemic risk factors leading to the defects in immune system.1,2 Diabetes mellitus (DM) is a chronic immune-compromising illness, and several endogenous endophthalmitis cases have been reported in diabetic patients3–5; however, endogenous endophthalmitis as the presenting manifestation of DM is extremely rare.6 Moreover, endogenous endophthalmitis caused by Acinetobacter spp. has been rarely reported.7,8
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The authors have no proprietary interests in the equipment or drugs used in this paper.