Endogenous endophthalmitis as a severe complication following a Streptococcus pyogenes infection

The diagnosis of endogenous endophthalmitis is challenging. We report a pediatric case of endogenous endophthalmitis due to Streptococcus pyogenes angina. A previously healthy 33-month-old child presented to the emergency department with a history of fever and fatigue related to bacterial angina. On...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2020-11, Vol.27 (8), p.506-508
Main Authors: Martinod, M., Bost-Bru, C., Mortamet, G.
Format: Article
Language:English
Subjects:
Bacterial angina
Children
Endogenous endophthalmitis
Invasive Streptococcus pyogenes infection
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Summary:The diagnosis of endogenous endophthalmitis is challenging. We report a pediatric case of endogenous endophthalmitis due to Streptococcus pyogenes angina. A previously healthy 33-month-old child presented to the emergency department with a history of fever and fatigue related to bacterial angina. On physical examination, an opalescent cornea was noticed and the diagnosis of endogenous endophthalmitis was confirmed by the pediatric ophthalmologist. Streptococcus pyogenes was found in blood culture and in the anterior chamber fluid. There was an adverse outcome with posterior vitrectomy and eye atrophy. Since endogenous endophthalmitis can lead to a poor visual outcome, urgent therapeutic management is necessary.
ISSN:0929-693X
1769-664X
DOI:10.1016/j.arcped.2020.08.012