Endogenous endophthalmitis complicating Streptococcus equi subspecies zooepidemicus meningitis: a case report

Journal article


Publication Details

Author(s): Madžar D, Hagge M, Möller S, Regensburger M, Lee DH, Schwab S, Jantsch J
Journal: BMC Research Notes
Publication year: 2015
Volume: 8
Pages range: 184
ISSN: 1756-0500


Abstract


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.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.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.



FAU Authors / FAU Editors

Hagge, Mareike Dr.
Neurologische Klinik
Möller, Sebastian Dr. med.
Neurologische Klinik
Regensburger, Martin Dr.
Neurologische Klinik
Schwab, Stefan Prof. Dr.
Lehrstuhl für Neurologie


External institutions with authors

Universitätsklinikum Regensburg


How to cite

APA:
Madžar, D., Hagge, M., Möller, S., Regensburger, M., Lee, D.H., Schwab, S., & Jantsch, J. (2015). Endogenous endophthalmitis complicating Streptococcus equi subspecies zooepidemicus meningitis: a case report. BMC Research Notes, 8, 184. https://dx.doi.org/10.1186/s13104-015-1133-9

MLA:
Madžar, Dominik, et al. "Endogenous endophthalmitis complicating Streptococcus equi subspecies zooepidemicus meningitis: a case report." BMC Research Notes 8 (2015): 184.

BibTeX: 

Last updated on 2019-24-06 at 08:48