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An elderly lady with sudden blindness and a sore foot
1Department of Infectious Diseases, St Mary's Hospital, London W2, UK.
The Journal of Infection
|July 9, 2005
Summary
Group G streptococcal infections can cause severe systemic illness. This case highlights a rare presentation of streptococcal septicaemia leading to bone infection (osteomyelitis) and eye inflammation (endophthalmitis) in an elderly patient.
Area of Science:
- Infectious Diseases
- Ophthalmology
- Orthopedics
Background:
- Group G Streptococcus (GGS) is an emerging pathogen.
- Septicemia is a serious bloodstream infection.
- Elderly individuals are susceptible to severe infections.
Observation:
- An elderly woman presented with symptoms suggestive of a severe systemic infection.
- Clinical examination revealed signs of osteomyelitis and endophthalmitis.
Findings:
- Blood cultures confirmed Group G streptococcal bacteremia.
- The patient had concurrent osteomyelitis and endophthalmitis, a rare triad.
- Prompt antibiotic treatment was initiated.
Implications:
- This case underscores the potential severity of GGS infections.
- Early diagnosis and aggressive management are crucial for favorable outcomes.
- Highlights the importance of considering GGS in elderly patients with severe infections and multi-organ involvement.