Combined Onset of Bilateral Endophthalmitis and Spondylodiscitis as Manifestations of Streptococcus dysgalactiae Infection in an Elderly Woman

Abstract

A case of a patient with bilateral endophthalmitis and vertebral infection is presented here. The case presented with fever, general malaise, reduced vision and back pain for at least two weeks. Diagnosis was established by positive blood cultures together with ophthalmology review and radiological findings. Streptococcus dysgalactiae subspecies equisimilis was isolated from blood cultures. This case demonstrates the risks for older patients of developing invasive disease upon exposure to Streptococcus dysgalactiae, even if underlying diseases are absent.

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Takakura, K. , Kajihara, M. , Fukushima, R. , Arihiro, S. , Koido, S. and Tajiri, H. (2014) Combined Onset of Bilateral Endophthalmitis and Spondylodiscitis as Manifestations of Streptococcus dysgalactiae Infection in an Elderly Woman. Case Reports in Clinical Medicine, 3, 216-219. doi: 10.4236/crcm.2014.34050.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Vandamme, P., Pot, B., Falsen, E., Kersters, K. and Devriese, L.A. (1996) Taxonomic Study of Lancefield Streptococcal Groups C, G, and L (Streptococcus dysgalactiae) and Proposal of S. dysgalactiae subsp. Equisimilis subsp. nov. International Journal of Systematic and Evolutionary Microbiology, 46, 774-781.
http://dx.doi.org/10.1099/00207713-46-3-774
[2] Gopalamurugan, A.B., Wheatcroft, S., Hunter, P. and Thomas, M.R. (2005) Bilateral Endophthalmitis and ARDS Complicating Group G Streptococcal Endocarditis. Lancet, 366, 2062.
http://dx.doi.org/10.1016/S0140-6736(05)67817-8
[3] Wickramasinghem, N. and Harris, K. (2010) Bilateral Endophthalmitis as a Primary Manifestation of Streptococcus dysgalactiae Endocarditis and the Role of 16S rDNA Polymerase Chain Reaction in Identification. Diagnostic Microbiology & Infectious Disease, 67, 185-187. http://dx.doi.org/10.1016/j.diagmicrobio.2010.01.008
[4] Kumar, A., Sandoe, S. and Kumar, N. (2005) Three Cases of Vertebral Osteomyelitis Caused by Streptococcus dysgalactiae subsp. Equisimilis. Journal of Medical Microbiology, 54, 1103-1105. http://dx.doi.org/10.1099/jmm.0.46061-0

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