Peptostreptococcal endophthalmitis with a relapsing course.
A posttraumatic exogenous endophthalmitis developed that was due to Peptostreptococcus. This Gram-positive anaerobe was isolated in pure culture from vitreous. The endophthalmitis showed a bacteriologic and clinical relapse despite conventional routes of antimicrobial treatment. A second clinical relapse occurred despite apparent vitreal sterilization with intravitreal antibiotics. The response to vitrectomy was impressive, and postoperatively the patient's visual acuity improved to 20/20.
D000293:Adolescent; D001424:Bacterial Infections / Q000628:therapy; D005128:Eye Diseases / Q000209:etiology* / Q000628:therapy; D005131:Eye Injuries / Q000150:complications; D006801:Humans; D007249:Inflammation; D008297:Male; D010462:Peptostreptococcus; D012008:Recurrence