Endogenous endophthalmitis secondary to erysipelas

Costa, José Ferreira; Marques, João Pedro; Marques, Marco Antonio; Quadrado, José Carlos

doi:10.1136/bcr-2014-209252

Cited by 3 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 2 , 4 , 5 , 6 , 7 , 8 Group A Streptococcus (GAS) as the etiologic agent for EE is an exceedingly rare presentation, reported only a handful of times. 13 , 14 , 15 Furthermore, to our knowledge, lens dislocation has never been reported as a sequela of EE.…”

Section: Introductionmentioning

confidence: 82%

“…Literature search reveals that GAS-mediated endophthalmitis has been sparsely reported. These cases have occurred in middle-aged females thought to be secondary to ipsilateral upper extremity erysipelas in one case, 13 after routine hysteroscopy in another, 14 and after perforated otitis media in a third. 15 Visual loss was severe and irreversible in these cases.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Crystalline lens dislocation secondary to bacterial endogenous endophthalmitis

Sangave

Komati

Weinmann

et al. 2017

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

PurposeTo present an unusual case of endogenous endophthalmitis secondary to Group A streptococcus (GAS) that resulted in dislocation of the crystalline lens.ObservationsAn immunocompetent 51-year-old man presented to the emergency room (ER) with upper respiratory infection (URI) symptoms and painful right eye. He was diagnosed with URI and viral conjunctivitis and discharged on oral azithromycin and polytrim eyedrops. He returned to the ER 30 h later with sepsis and findings consistent with endophthalmitis, including light perception only vision. Ophthalmology was consulted at this time and an emergent vitreous tap and injection was performed. Both blood and vitreous cultures grew an atypical non-hemolytic variant of GAS (Streptococcus pyogenes). The primary source of infection was presumed to be secondary to pharyngitis or cutaneous dissemination. Final vision in the affected eye was no light perception, likely from a combination of anterior segment scarring, posterior segment damage, and hypotony. Interestingly, head computed tomography (CT) at the initial ER presentation showed normal lens position, but repeat CT at re-presentation revealed posterior dislocation of the lens.Conclusions and importanceEndophthalmitis secondary to GAS has been sparsely reported in the literature, and this case highlights a unique clinical presentation. We suspect that this atypical non-hemolytic strain may have evaded detection on initial pharyngeal cultures. Additionally, we hypothesize that GAS-mediated protease release resulted in breakdown of the zonular fibers and subsequent lens dislocation. Ophthalmologists should be aware of GAS and its devastating intraocular manifestations.

show abstract

Section: Introductionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Crystalline lens dislocation secondary to bacterial endogenous endophthalmitis

Sangave

Komati

Weinmann

et al. 2017

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

show abstract

“…However, it is also true that EE may not always be preceded by debilitating systemic infection and can even occur secondary to superficial skin infections such as erysipelas and fungal infections. [ 5 6 ]…”

mentioning

confidence: 99%