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Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
Isolated group B streptococcal endogenous endophthalmitis simulating retinoblastoma or persistent fetal vasculature
Emily A McCourt1, Eric M Hink, Vikram D Durairaj
1Rocky Mountain Lions Eye Institute, Department of Ophthalmology, University of Colorado-Denver, Aurora, CO 80045, USA.
Abstract:
Group B streptococcus (GBS) is a potentially devastating neonatal pathogen that most commonly causes meningitis, sepsis, and pneumonia. It is also a very rare cause of endogenous endophthalmitis. We present the second case of endogenous endophthalmitis caused by GBS in a healthy newborn and the first case of endogenous endophthalmitis by GBS in a newborn mimicking retinoblastoma and resulting in enucleation.
Insights
Group B streptococcus (GBS) can cause severe neonatal infections. This report details a rare GBS-induced endophthalmitis in a newborn that mimicked retinoblastoma, leading to eye removal.
Area of Science:
- Ophthalmology
- Neonatal Medicine
- Infectious Diseases
Background:
- Group B streptococcus (GBS) is a significant cause of neonatal infections like meningitis, sepsis, and pneumonia.
- Endogenous endophthalmitis is a rare but serious complication of GBS infection in neonates.
Observation:
- This study describes the second reported case of GBS endogenous endophthalmitis in a healthy newborn.
- The presented case is the first instance of GBS endophthalmitis in a neonate that clinically resembled retinoblastoma.
Findings:
- Group B streptococcus was identified as the causative agent of endogenous endophthalmitis.
- The neonatal endophthalmitis presented with symptoms mimicking retinoblastoma, a pediatric eye cancer.
- The affected eye required enucleation due to the severity of the infection and misdiagnosis.
Implications:
- Highlights the importance of considering GBS as a potential cause of neonatal endophthalmitis, even in seemingly healthy infants.
- Emphasizes the diagnostic challenge posed by GBS endophthalmitis mimicking retinoblastoma, potentially delaying appropriate treatment.
- Underscores the severe consequences of delayed diagnosis and treatment, including the need for enucleation.
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