Back to Search
Start Over
Endogenous endophthalmitis complicating Streptococcus equi subspecies zooepidemicus meningitis: a case report.
- Source :
-
BMC research notes [BMC Res Notes] 2015 May 05; Vol. 8, pp. 184. Date of Electronic Publication: 2015 May 05. - Publication Year :
- 2015
-
Abstract
- Background: Streptococcus equi subspecies zooepidemicus (Streptococcus zooepidemicus) is a rare cause of meningitis in humans. Humans mainly get infected by contact with an animal source or by ingestion of unpasteurized dairy products. In rare cases, bacterial meningitis can be complicated by endogenous endophthalmitis which is frequently associated with a poor visual prognosis.<br />Case Presentation: A 73 year old male Caucasian patient presented with clinical signs indicative of bacterial meningitis. Blood and cerebrospinal fluid cultures yielded beta-hemolytic, catalase-negative cocci. The strain was identified as Streptococcus zooepidemicus. The patient was likely infected by contact with a sick horse. Under antibiotic treatment, his general condition improved rapidly. Early after hospital admission, however, he began seeing a black spot in his left eye's central visual field. An ophthalmological examination revealed signs of endogenous endophthalmitis and so the patient underwent vitrectomy. Despite treatment, the visual acuity of his left eye remained severely impaired. He showed no further neurological deficits at hospital discharge.<br />Conclusion: Meningitis caused by Streptococcus zooepidemicus is rare with only 27 previously published adult cases in the literature. Of note, this report constitutes the third description of endogenous endophthalmitis associated with Streptococcus zooepidemicus meningitis. Thus, endogenous endophthalmitis may represent a comparatively common complication of meningitis caused by this microorganism.
- Subjects :
- Aged
Cerebrospinal Fluid microbiology
Humans
Male
Streptococcus equi isolation & purification
Endophthalmitis complications
Endophthalmitis microbiology
Meningitis, Bacterial complications
Meningitis, Bacterial microbiology
Streptococcal Infections complications
Streptococcal Infections microbiology
Streptococcus equi physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1756-0500
- Volume :
- 8
- Database :
- MEDLINE
- Journal :
- BMC research notes
- Publication Type :
- Academic Journal
- Accession number :
- 25940309
- Full Text :
- https://doi.org/10.1186/s13104-015-1133-9