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PubMed · 10832687

A devastating ocular pathogen: beta-streptococcus Group G.

D C Ritterband·M K Shah·D J Buxton·M C Intal·D S Guthrie·J A Seedor
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Abstract

PURPOSE: To report the clinical findings, treatment, and outcomes of four cases of beta-streptococcus Group G (BHS-G) ocular infection. METHODS: The medical and microbiologic records of four cases of BHS-G ocular infection were retrospectively reviewed. RESULTS: Two cases of BHS-G endophthalmitis and two cases of BHS-G keratitis were recorded. Three patients developed fulminant infection within 12 hours of the onset of symptoms. One patient's history was incomplete. One patient developed endophthalmitis from a contaminated donor button; another following cataract surgery. One developed keratitis in a keratoplasty suture tract; and another patient developed a corneal abscess after being struck with a tree branch. The patient with the contaminated donor button developed overwhelming endophthalmitis resulting in no light perception vision, severe pain, and evisceration. The postoperative cataract patient developed a purulent endophthalmitis and is still hypotonus with light perception vision. The second keratitis patient developed a significant suture abscess with marked stromal loss but eventually healed. The traumatic keratitis patient developed a large ulcer with hypopyon and descemetocele but was lost to follow-up. CONCLUSIONS: This is the first report of a series of BHS-G ocular infections. The ocular infections were characterized by rapid onset, extreme inflammation, and--despite in vitro antibiotic sensitivity--a poor or sluggish response to antibiotic therapy.

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AbscessAdultAgedAged, 80 and overAnti-Bacterial AgentsAqueous HumorCorneal UlcerDrug Therapy, CombinationEndophthalmitisEye Infections, BacterialFemaleHumansInjectionsMaleMiddle AgedRetrospective StudiesStreptococcal InfectionsStreptococcus agalactiaeTreatment OutcomeVitrectomyVitreous BodyCase ReportsJournal Article

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D C Ritterband, M K Shah, D J Buxton, M C Intal, D S Guthrie, J A Seedor. 2000. A devastating ocular pathogen: beta-streptococcus Group G.. https://doi.org/10.1097/00003226-200005000-00008

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