Streptococcus salivarius endogenous endophthalmitis

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dc.contributor.authorMehanna, Carl Joe
dc.contributor.authorKallassi, Lea
dc.contributor.authorMansour, Ahmad Mohammed Farid Mahmoud
dc.contributor.authorHamam, Rola N.
dc.contributor.departmentOphthalmology
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T12:08:50Z
dc.date.available2025-01-24T12:08:50Z
dc.date.issued2021
dc.description.abstractWe describe a case of endogenous endophthalmitis in an elderly man caused by Streptococcus salivarius. An 88-year-old male patient with diabetes with iron deficiency anaemia and history of transcatheter aortic valve implantation presented with an insidious clinical picture of atraumatic endophthalmitis. No internal or external source could be identified. Diagnostic and therapeutic vitrectomy revealed papillomacular abscess and vitreous fluids grew S. €¯salivarius. Despite lack of an identifiable source of infection, a high index of suspicion for atypical presentations is required in patients with multiple comorbidities that could weaken their immune system towards opportunistic infections. Early detection, microbiological evaluation and prompt treatment are critical to avoid disastrous outcomes. While S.¯salivarius has been implicated in cases of exogenous endophthalmitis, this is the first reported case of endogenous endophthalmitis due to S. €¯salivarius. © 2021 BMJ Publishing Group. All rights reserved.
dc.identifier.doihttps://doi.org/10.1136/bcr-2020-239299
dc.identifier.eid2-s2.0-85101267799
dc.identifier.pmid33541999
dc.identifier.urihttp://hdl.handle.net/10938/31929
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.relation.ispartofBMJ Case Reports
dc.sourceScopus
dc.subjectInfectious diseases
dc.subjectOphthalmology
dc.subjectRetina
dc.subjectAbscess
dc.subjectAged, 80 and over
dc.subjectAnti-bacterial agents
dc.subjectCeftazidime
dc.subjectEndophthalmitis
dc.subjectEye infections, bacterial
dc.subjectHumans
dc.subjectMale
dc.subjectStreptococcus salivarius
dc.subjectUltrasonography
dc.subjectVancomycin
dc.subjectVitrectomy
dc.subjectVitreous body
dc.subjectCarbomer
dc.subjectCyclopentolate
dc.subjectHyaluronic acid
dc.subjectMoxifloxacin
dc.subjectAntiinfective agent
dc.subjectAged
dc.subjectArticle
dc.subjectB scan
dc.subjectBlurred vision
dc.subjectCase report
dc.subjectCaucasian
dc.subjectClinical article
dc.subjectClinical assessment
dc.subjectDecision making
dc.subjectEye pain
dc.subjectFilamentary keratitis
dc.subjectFollow up
dc.subjectHospital admission
dc.subjectHuman
dc.subjectIntraoperative period
dc.subjectMouth hygiene
dc.subjectPars plana vitrectomy
dc.subjectPolymerase chain reaction
dc.subjectPostoperative period
dc.subjectRetina hemorrhage
dc.subjectTranscatheter aortic valve implantation
dc.subjectTreatment outcome
dc.subjectVery elderly
dc.subjectVisual acuity
dc.subjectBacterial eye infection
dc.subjectEchography
dc.subjectIsolation and purification
dc.subjectMicrobiology
dc.titleStreptococcus salivarius endogenous endophthalmitis
dc.typeArticle

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