Sim Yu Ra, Lee Ye Jin, Park Seung Woon, Kim Sang Hyun, Choi Ju Hee, Choi Jung Yoon, Kim Min Ja, Sohn Jang Wook, Ahn Jaemoon, Yoon Young Kyung
Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
Infect Chemother. 2017 Dec;49(4):286-292. doi: 10.3947/ic.2017.49.4.286.
Endogenous endophthalmitis secondary to group B Streptococcus (GBS) is extremely rare, particularly in healthy adults. However, the visual prognosis is poor. We report the first South Korean case of GBS infective endocarditis presenting as endogenous endophthalmitis and skin and soft tissue infection. Cultures of blood, vitreous humor, and pus from skin aspirates yielded a penicillin-susceptible serotype V strain of Streptococcus agalactiae. After 6 weeks, the patient completely recovered from GBS infective endocarditis. However, despite early antibiotic treatment and early surgical intervention, the patient's right eye developed phthisis bulbi and was a candidate for evisceration.
B组链球菌(GBS)继发的内源性眼内炎极为罕见,尤其是在健康成年人中。然而,其视觉预后较差。我们报告了韩国首例以内源性眼内炎以及皮肤和软组织感染形式出现的GBS感染性心内膜炎病例。血液、玻璃体液以及皮肤吸出物中的脓液培养均培养出对青霉素敏感的无乳链球菌血清型V菌株。6周后,患者从GBS感染性心内膜炎中完全康复。然而,尽管进行了早期抗生素治疗和早期手术干预,患者的右眼仍发展为眼球痨,成为眼球摘除术的候选对象。