Endophthalmitis Caused by Streptococcal Species

Lisa Kay Mao, Harry W. Flynn, Darlene Miller, Stephen C. Pflugfelder

Research output: Contribution to journalArticle

82 Scopus citations

Abstract

The medical records of 48 patients with culture-positive streptococcal endophthalmitis diagnosed between January 1977 and May 1990 were reviewed. The viridans group streptococci were isolated in 24 (50%) of the 48 cases, enterococci in 13 cases (27.1%), Streptococcus pneumoniae in six cases (12.5%), and β-hemolytic streptococci in six (12.5%) of 48 cases. The clinical statuses of endophthalmitis cases by etiology were postoperative in 40 patients (83.3%), posttraumatic in six patients (12.5%), and miscellaneous in two patients (4.2%). Overall, 15 (31.2%) patients achieved 20/400 or better visual acuity. The streptococcal isolates demonstrated a 32.6% in vitro resistance to gentamicin sulfate, whereas all isolates were sensitive to vancomycin hydrochloride. The enterococci were often resistant to the cephalosporins, whereas the other streptococcal species were not.

Original languageEnglish (US)
Pages (from-to)798-801
Number of pages4
JournalArchives of ophthalmology
Volume110
Issue number6
DOIs
StatePublished - Jun 1992

ASJC Scopus subject areas

  • Ophthalmology

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