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.

Highlights

  • Endophthalmitis is an uncommon complication of bacterial infections, whilst spondylodiscitis is a relatively uncommon cause of back pain

  • Streptococcus dysgalactiae can be divided into 5 distinct subtypes, but human disease is most associated with Streptococcus dysgalactiae subspecies equisimilis, Lancefield serogroup G [1]

  • Endophthalmitis is an uncommon complication of bacterial infections, and intra vitreal administration of antibiotics is recommended, the prognosis for regaining sight in the affected eye remains poor

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Summary

Introduction

Endophthalmitis is an uncommon complication of bacterial infections, whilst spondylodiscitis is a relatively uncommon cause of back pain. Streptococcus dysgalactiae could have aetiological importance in both inflammatory diseases in patients usually with underlying diseases, but such infection could be associated with no primary illness such as diabetes mellitus and heart disease. How to cite this paper: Takakura, K., et al (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.

Case Report
Discussion

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