Streptococcus intermedius-associated late-onset endophthalmitis after trabeculectomy with adjunctive mitomycin C.

Abstract:

PURPOSE:To report a woman with congenital rubella syndrome of delayed-onset, bleb-related endophthalmitis induced by Streptococcus intermedius. METHODS:Interventional case report. RESULTS:A 33-year-old woman who underwent bilateral trabeculectomy with adjunctive mitomycin C, 11 years earlier presented with redness and blurred vision in her right eye. She had received a topical antimicrobial agent because of bleb leak before presentation. She underwent anterior chamber tap and complete vitrectomy with intravitreal antibiotics. Cultures from the vitreous aspirate grew gram-positive cocci. The DNA from the microorganism was sequenced and identified as S. intermedius. Three months after the surgical intervention, her right eye showed no residual inflammation with a best-corrected visual acuity of 30/200. CONCLUSIONS:Bleb-associated endophthalmitis caused by S. intermedius is responsive to intravitreal antibiotics and vitrectomy, and special care should be taken to identify a bacterial pathogen.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Mochizuki K,Kumada M,Suemori S,Kawakami H,Sawada A,Yamamoto T,Mikamo H

doi

10.1097/IJG.0b013e318170a732

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

79-80

issue

1

eissn

1057-0829

issn

1536-481X

pii

00061198-200901000-00014

journal_volume

18

pub_type

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