Streptococcus salivarius endogenous endophthalmitis.

Carl-Joe Mehanna, Lea Kallassi, Ahmad M Mansour, Rola N Hamam

BMJ case reports 2021 Feb 04

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We 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. © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Citation

Carl-Joe Mehanna, Lea Kallassi, Ahmad M Mansour, Rola N Hamam. Streptococcus salivarius endogenous endophthalmitis. BMJ case reports. 2021 Feb 04;14(2)