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Infective Endocarditis Presenting as Endogenous Endophthalmitis Secondary to Streptococcus agalactiae in a Healthy Adult: Case Report and Literature Review

Authors
Sim, Yu RaLee, Ye JinPark, Seung WoonKim, Sang HyunChoi, Ju HeeChoi, Jung YoonKim, Min JaSohn, Jang WookAhn, JaemoonYoon, Young Kyung
Issue Date
Dec-2017
Publisher
KOREAN SOC CHEMOTHERAPY
Keywords
Streptococcus agalactiae; Endophthalmitis; Endocarditis
Citation
INFECTION AND CHEMOTHERAPY, v.49, no.4, pp.286 - 292
Indexed
SCOPUS
KCI
Journal Title
INFECTION AND CHEMOTHERAPY
Volume
49
Number
4
Start Page
286
End Page
292
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/81391
DOI
10.3947/ic.2017.49.4.286
ISSN
2093-2340
Abstract
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.
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