Penicillin-resistant Streptococcus pneumoniae Endophthalmitis

• Published in: American journal of ophthalmology Vol. 123; no. 1; pp. 133 - 135
• Main Authors: Cid, Monica, Sabates, Nelson R.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.01.1997; Elsevier; Elsevier Limited
• Subjects: Biological and medical sciences; Endophthalmitis - microbiology; Female; Glaucoma, Open-Angle - surgery; Humans; Medical sciences; Middle Aged; Penicillin Resistance; Postoperative Complications; Streptococcus pneumoniae - physiology; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Trabeculectomy; Human; Postoperative; Trabeculectomy; Uvea disease; Streptococcus pneumoniae; Infection; Case study; Streptococcaceae; Eye disease; Antibiotic; Microorganism resistance; Surgery; Streptococcal infection; Penicillin; Bacteriosis; Bacteria; Micrococcales; Complication; Antibacterial agent; Endophtalmitis
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/S0002-9394(14)71009-8

To report a case of trabeculectomy-associated endophthalmitis caused by penicillin-resistant Streptococcus pneumoniae. Case report. The patient developed endophthalmitis 1 month after an uncomplicated trabeculectomy for primary open-angle glaucoma. Vitreous cultures grew abundant, highly penicillin-resistant S pneumoniae. Despite aggressive treatment with vitrectomy and intravitreal injections of vancomycin hydrochloride and amikacin sulfate, the patient had a poor visual outcome. Penicillin-resistant S pneumoniae can cause endophthalmitis after trabeculectomy.