Penicillin-resistant Streptococcus pneumoniae endophthalmitis.
OBJECTIVE
To report a case of trabeculectomy-associated endophthalmitis caused by penicillin-resistant Streptococcus pneumoniae.


METHODS
Case report.


RESULTS
The patient developed endophthalmitis 1 month after an uncomplicated trabeculectomy for primary open-angle glaucoma. Vitreous cultures grew abundant, highly penicillin-resistant S pneumoniae. Despite aggressive treatment with vitrectomy and intravitreal injections of vancomycin hydrochloride and amikacin sulfate, the patient had a poor visual outcome.


CONCLUSIONS
Penicillin-resistant S pneumoniae can cause endophthalmitis after trabeculectomy.
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University of Missouri, Kansas City School of Medicine, USA.
Sabates
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D009877:Endophthalmitis / Q000382:microbiology*; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010403:Penicillin Resistance; D011183:Postoperative Complications; D013296:Streptococcus pneumoniae / Q000502:physiology*; D014130:Trabeculectomy