%0 Journal Article
%T Streptococcus dysgalactiae endocarditis presenting as acute endophthalmitis
%A Angelina Su-Min Yong
%A Su Yin Lau
%A Tsung Han Woo
%A Jordan Yuanzhi Li
%J Infectious Disease Reports
%D 2012
%I PAGEPress Publications
%R 10.4081/idr.2012.e16
%X Endogenous endophthalmitis is a rare ocular infection affecting the vitreous and/or aqueous humours. It is associated with poor visual prognosis and its commonest endogenous aetiology is infective endocarditis. The causative organisms of endogenous endophthalmitis complicating endocarditis are mainly Group A or B streptococci. The identification of Group C and G streptococci such as Streptococcus dysgalactiae is comparatively uncommon and has only been reported in a few case reports or series. We therefore report a case of infective endocarditis caused by Streptococcus dysgalactiae first presenting with endogenous endophthalmitis, the most likely source being bilateral feet osteomyelitis in a patient with type I diabetes. The patient was treated with a course of intravenous benzylpenicillin, intravitreal antibiotics, bilateral below knee amputations and mitral valve replacement. She survived all surgical procedures and regained partial visual acuity in the affected eye.
%K Endocarditis
%K endophthalmitis
%K Group C streptococcus
%K Group G streptococcus
%K streptococcus dysgalactiae
%U http://www.pagepress.org/journals/index.php/idr/article/view/3750