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.

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.