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Streptococcus suis type II (group R) as a cause of endophthalmitis.

B F McLendon, A J Bron, C J Mitchell

    The British Journal of Ophthalmology
    |October 1, 1978
    PubMed
    Summary

    A rare Streptococcus suis type II infection caused severe bilateral endophthalmitis, meningitis, and sepsis in a human. This case highlights the potential for zoonotic transmission of this pathogen, emphasizing the need for vigilance in both veterinary and human medicine.

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    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Microbiology

    Background:

    • Streptococcus suis type II (group R) is a known cause of disease in swine.
    • Human infections with Streptococcus suis are uncommon.
    • Ocular manifestations of Streptococcus suis in humans have not been previously reported.

    Observation:

    • A patient presented with bilateral endophthalmitis, meningitis, sensorineural deafness, labyrinthitis, and septicaemia.
    • The patient's severe systemic illness was attributed to Streptococcus suis type II.

    Findings:

    • The causative agent, Streptococcus suis type II, was identified.
    • The isolate demonstrated high sensitivity to penicillin, with a minimum inhibitory concentration of 0.03 mg/L.

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    Implications:

    • This case represents the first documented instance of Streptococcus suis type II causing ocular infection in humans.
    • The findings underscore the zoonotic potential of Streptococcus suis and the importance of considering it in human infections, especially with neurological or ophthalmological symptoms.
    • Penicillin remains an effective treatment option for infections caused by this pathogen.