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

Citations

SCOPUS

13

초록

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. © 2017 by The Korean Society of Infectious Diseases.

키워드

Endocarditis; Endophthalmitis; Streptococcus agalactiae; ampicillin; azithromycin; cefaclor; cefepime; cefotaxime; ceftazidime; ceftriaxone; cephalosporin derivative; clindamycin; gentamicin; levofloxacin; meropenem; penicillin derivative; vancomycin; adult; antibiotic sensitivity; antibiotic therapy; Article; bacterial endocarditis; bacterial strain; bacterium identification; blood culture; case report; clinical article; clinical feature; endophthalmitis; eye evisceration; female; follow up; human; intraocular pressure; keratomileusis; pus; skin abscess; soft tissue infection; South Korean; staphylococcal skin infection; Streptococcus agalactiae; transthoracic echocardiography; treatment outcome; vitreous body
제목
Infective endocarditis presenting as endogenous endophthalmitis secondary to Streptococcus agalactiae in a healthy adult: Case report and literature review
저자
Sim Y.R.; Lee Y.J.; Park S.W.; Kim S.H.; Choi J.H.; Choi J.Y.; Kim M.J.; Sohn J.W.; Ahn J.; Yoon Y.K.
DOI
10.3947/ic.2017.49.4.286
발행일
2017-12
유형
Article
저널명
Infection and Chemotherapy
권
49
호
4
페이지
286 ~ 292