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Endogenous endophthalmitis in a case with group B Streptococcus endocarditis Keijiro Sugita 1 , Teruyo Tanabe 1 , Nobuyoshi Arima 2 , Isao Saito 1 1Dept of Ophthalmol,The Tazuke Kofukai Med Res Inst Kitano Hosp 2Dept of Hematol,The Tazuke Kofukai Med Res Inst Kitano Hosp pp.1955-1961
Published Date 2011/12/15
DOI https://doi.org/10.11477/mf.1410104038
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Abstract. Purpose:To report a case of endogenous endophthalmitis secondary to group B Streptococcus endocarditis. Case:A 59-year-old female presented with suddenly impaired vision in both eyes. She had been diagnosed with influenza for general malaise and fever 4 days before. She had had arrhythmia before. Her sister had received cardiovascular surgery for complications of Marfan syndrome. Findings:Corrected visual acuity was hand motion right and light perception left. Both eyes showed signs of iridocyclitis and vitreous opacity. Streptococcus agalactiae was cultured from the blood and aqueous. She was diagnosed with endophthalmitis secondary to endocarditis. She was treated by topical and systemic antibiotics. The right eye received vitreous surgery,resulting in final visual acuity of 0.15 4 months later. Conclusion:This case illustrates that topical and systemic antibiotics may be effective for endogenous bacterial endophthalmitis when immediate radical treatment is not feasible.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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