Endogenous bacterial endophthalmitis in an HIV patient with uncontrolled diabetes: A case of rare ocular complication

Autor: Yahya Ali Mohzari, Oweida Fahad AlDosary, Reem F. Bamogaddam, Munira AlHussaini, Hamad Al Alyami, Ahmad Alrashed, Ahmad Alamer
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Infection and Public Health, Vol 17, Iss 7, Pp 102461- (2024)
Druh dokumentu: article
ISSN: 1876-0341
DOI: 10.1016/j.jiph.2024.05.049
Popis: Endogenous bacterial endophthalmitis (EE) is an intraocular infection with a poor prognosis. Timely diagnosis and prompt treatment are crucial to prevent vision loss. In this communication, we describe a case of EE caused by Streptococcus pyogenes (Group A Streptococcus [GAS]) in an HIV-positive patient with poorly controlled type 2 diabetes mellitus (DM). A 60-year-old man with a history of HIV and poorly controlled type 2 diabetes, presented with progressive blurry vision, left eye pain, redness, and headache. EE was diagnosed based on the clinical presentation and gram stain analysis of blood culture. Treatment with vitreous tap, intravitreal, topical antibiotics, and systemic antibiotics significantly improved the patient's symptoms. The case highlights the rarity of GAS as a causative agent of EE, particularly in patients with risk factors such as HIV infection and DM.
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