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[Endophthalmitis and multiple brain abscess in a patient with endocarditis due to Streptococcus agalactiae]

D Peña Jiménez1, J de la Torre Lima, J L Prada Pardal

  • 1Servicio de Medicina Interna, Hospital Costa del Sol, Marbella, Málaga.

Anales De Medicina Interna (Madrid, Spain : 1984)
|September 6, 2001
PubMed

Insights

Endogenous endophthalmitis from Streptococcus agalactiae is rare in adults. This case highlights a patient with endocarditis, endophthalmitis, and brain abscess, emphasizing the need for awareness in immunocompromised individuals.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Neurology

Background:

  • Endogenous endophthalmitis is a severe intraocular infection originating from a distant internal focus via hematogenous spread.
  • Infections caused by Streptococcus agalactiae (Group B Streptococcus) are uncommon in adult endogenous endophthalmitis cases, though recent reports link them to immunocompromised states.

Observation:

  • A case of a patient presenting with Streptococcus agalactiae endocarditis, endogenous endophthalmitis, and multiple brain abscesses is described.
  • This clinical presentation represents a rare and severe manifestation of Streptococcus agalactiae bacteremia.

Findings:

  • The study details a unique case of Streptococcus agalactiae causing simultaneous endocarditis, endophthalmitis, and central nervous system infection (brain abscesses).
  • Literature review on Streptococcus agalactiae-related endogenous endophthalmitis in adults is presented.

Implications:

  • This case underscores the potential for Streptococcus agalactiae to cause severe, disseminated infections in adults, particularly those who are immunocompromised.
  • Increased clinical vigilance is warranted for Streptococcus agalactiae in patients presenting with endophthalmitis, endocarditis, or brain abscesses.

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