A Case of Bilateral Endogenous Endophthalmitis in a Streptococcus pneumoniae Meningitis Patient.

Lee, Min Soo; Chang, Moo Hwan

doi:2013.54.2.370

J Korean Ophthalmol Soc > Volume 54(2); 2013 > Article

Case Report

Journal of the Korean Ophthalmological Society 2013;54(2):370-374.
DOI: https://doi.org/10.3341/jkos.2013.54.2.370 Published online February 28, 2013.

A Case of Bilateral Endogenous Endophthalmitis in a Streptococcus pneumoniae Meningitis Patient.

Min Soo Lee, Moo Hwan Chang

Department of Ophthalmology, Dankook University Medical College, Seoul, Korea. changmh@dankook.ac.kr

폐렴사슬알균 수막염 환자에서 발생한 양안 내인성 안내염 1예

이민수⋅장무환

Department of Ophthalmology, Dankook University Medical College, Seoul, Korea

Abstract

PURPOSE
To report a case of bilateral endogenous endophthalmitis in a Streptococcus pneumoniae meningitis patient. CASE SUMMARY: A 45-year-old woman with bacterial meningitis was referred to the ophthalmologic clinic with acute visual impairment in both eyes. The patient's visual acuities were hand motion in both eyes. Ophthalmoscopy revealed inflammation in the anterior chamber and vitreous opacities in both eyes. Streptococcus pneumoniae was isolated in the cerebrospinal fluid sample, but not in vitreal, blood samples. Vision improved to 70/100 in the right eye and 2/100 in the left eye after 8 days of treatment. CONCLUSIONS: Endogenous endophthalmitis constitutes a rare complication of Streptococcus pneumoniae meningitis, and a prompt diagnosis and administration of empirical intravitreal antibiotics can lead to a more favorable visual prognosis.

Key Words: Endogenous endophthalmitis;Meningitis;Streptococcus pneumoniae