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Lee, Ha, Han, and Bae: A Case of Endogenous Streptococcus Mitis Endophthalmitis in a Patient with Staphylococcus Aureus Sepsis
Case Report
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(8): 1190-1193.

Published online: 17 August 2012

DOI: https://doi.org/10.3341/jkos.2012.53.8.1190

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

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

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

Address reprint requests to Jeong Hun Bae, MD. Department of Ophthalmology, Kangbuk Samsung Medical Center, Saemunan-ro 29, Jongno-gu, Seoul 110-746, Korea. Tel: 82-2-2001-2250, Fax: 82-2-2001-2262, Jhbae94@hotmail.com

Received 24 February 2012       Accepted 30 June 2012

Copyright © 2012 The Korean Ophthalmological Society

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.

Keywords: Endogenous endophthalmitis, Sepsis, Staphylococcus aureus, Streptococcus mitis

Figures and Tables

Figure 1
B-scan ultrasonography. (A) On the first visit, vitreous opacity was noted in the right eye. (B) One day after pars plana vitrectomy, vitreous opacity was much decreased.
jkos-53-1190-g001

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