Horse to human: Streptococcus equi septicemia presenting as endogenous endophthalmitis.

Autor:	Morris RE; Retina Specialists of Alabama, LLC, Birmingham, AL, USA.; Helen Keller Foundation for Research and Education, Birmingham, AL, USA.; University of Alabama at Birmingham (UAB), Department of Ophthalmology, Birmingham, AL, USA., Doherty S; Retina Specialists of Alabama, LLC, Birmingham, AL, USA.; Helen Keller Foundation for Research and Education, Birmingham, AL, USA.; University of Massachusetts Chan Medical School, Worcester, MA, USA., Oltmanns MH; Retina Specialists of Alabama, LLC, Birmingham, AL, USA.; Helen Keller Foundation for Research and Education, Birmingham, AL, USA.; University of Alabama at Birmingham (UAB), Department of Ophthalmology, Birmingham, AL, USA., Sapp MR; Retina Specialists of Alabama, LLC, Birmingham, AL, USA.; Helen Keller Foundation for Research and Education, Birmingham, AL, USA.; University of Alabama at Birmingham (UAB), Department of Ophthalmology, Birmingham, AL, USA., Wells K; The Retina Center PA, Bryan, TX, USA., Patel HR; Centers for Retina & Macular Disease, Winter Haven, FL, USA.
Jazyk:	angličtina
Zdroj:	American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2023 Dec 08; Vol. 33, pp. 101974. Date of Electronic Publication: 2023 Dec 08 (Print Publication: 2024).
DOI:	10.1016/j.ajoc.2023.101974
Abstrakt:	Purpose: To present a rarely reported systemic infection with streptococcus equi subspecies zooepidemicus ( streptococcus equi ), transmitted from a horse, and to describe successful treatment when complicated by endogenous endophthalmitis. Observations: We diagnosed suspected streptococcus equi septicemia presenting as loss of vision in the right eye of an otherwise healthy polo player/horse trainer. He received immediate intravenous antibiotics and three vitrectomies with two intravitreal antibiotic injections during the first week, to cure infection and subsequent retinal detachment. Blood and initial vitreous cultures rapidly grew streptococcus equi. The septicemia was quickly controlled by systemic antibiotics without developing commonly seen and often fatal meningitis. The right eye recovered 20/30 visual acuity three months post infection. Conclusions: Presentation of this rare septicemia as endogenous endophthalmitis illustrates the potentially lifesaving role of early diagnosis by the ophthalmologist. Immediate and recurrent vitrectomy in conjunction with intravitreal and systemic antibiotic therapy resulted in recovery of near normal vision, whereas less timely and interventional treatments have failed heretofore. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.)
Databáze:	MEDLINE
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