Penicillin-resistant Streptococcus pneumoniae endophthalmitis.

Cid, M; Sabates, N R · Am J Ophthalmol · 1997

case_report · Level V

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Abstract

To report a case of trabeculectomy-associated endophthalmitis caused by penicillin-resistant Streptococcus pneumoniae. Case report. 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. Penicillin-resistant S pneumoniae can cause endophthalmitis after trabeculectomy.

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