Patients with hematologic malignancy are immunocompromised either due to the underlying disease or from chemotherapy, resulting in an increased risk for opportunistic infections. Neutropenic patients with vancomycin-resistant Enterococci colonization are at risk of bacteremia with rare endogenous dissemination, which can result in hematogenous spread to the eye. We describe a patient with a hematologic malignancy with treatment-related neutropenia who developed endogenous vancomycin-resistant Enterococcus gallinarum endophthalmitis along with a review of the literature related to this case.
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