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Published on: February 23, 2014
Penicillin-resistant Streptococcus pneumoniae endophthalmitis
1University of Missouri, Kansas City School of Medicine, USA.
Purpose:
To report a case of trabeculectomy-associated endophthalmitis caused by penicillin-resistant Streptococcus pneumoniae.
Method:
Case report.
Results:
The patient developed endophthalmitis 1 month after an uncomplicated trabeculectomy for primary open-angle glaucoma. Vitreous cultures grew abundant, highly penicillin-resistant S pneumoniae. Despite aggressive treatment with vitrectomy and intravitreal injections of vancomycin hydrochloride and amikacin sulfate, the patient had a poor visual outcome.
Conclusion:
Penicillin-resistant S pneumoniae can cause endophthalmitis after trabeculectomy.
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