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

Lee, Yong Woo; Ha, Man Mook; Han, So Young; Bae, Jeong Hun

doi:2012.53.8.1190

J Korean Ophthalmol Soc > Volume 53(8); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(8):1190-1193.
DOI: https://doi.org/10.3341/jkos.2012.53.8.1190 Published online August 15, 2012.

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

Yong Woo Lee, Man Mook Ha, So Young Han, Jeong Hun Bae

Department of Ophthalmology, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Jhbae94@hotmail.com

황색포도알균 패혈증 환자에서 발생한 스트렙토콕쿠스미티스에 의한 내인성 안내염 1예

이용우⋅하만묵⋅한소영⋅배정훈

Department of Ophthalmology, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

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.

Key Words: Endogenous endophthalmitis;Sepsis;Staphylococcus aureus;Streptococcus mitis