Gemella haemolysans keratitis and consecutive endophthalmitis.
OBJECTIVE
To report a case of Gemella hemolysans keratitis with consecutive endophthalmitis.


METHODS
Interventional case report. A 47-year-old woman with a history of sarcoidosis treated chronically with systemic prednisone developed bacterial keratitis and consecutive endophthalmitis in the left eye.


RESULTS
Corneal, aqueous, and vitreous cultures yielded G. hemolysans. Emergent keratoplasty, pars plana vitrectomy, and injection of intravitreal antibiotics led to resolution of the infection and improved vision. Five months after surgery, the corneal graft has remained clear since cessation of antibiotics.


CONCLUSIONS
This is the first report, to our knowledge, of ocular G. hemolysans infection, an uncommon gram-positive pathogen often confused with viridans-type streptococci.
Ritterband
David
D
Department of Ophthalmology, The New York Eye and Ear Infirmary, New York 10003, USA. ritterband@msn.com
Shah
Mahendra
M
Kresloff
Michael
M
Intal
Myrna
M
Shabto
Uri
U
Seedor
John
J
D000900:Anti-Bacterial Agents; D001082:Aqueous Humor / Q000382:microbiology; D003315:Cornea / Q000382:microbiology; D003320:Corneal Ulcer / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D006095:Gram-Positive Cocci / Q000302:isolation & purification*; D006801:Humans; D015948:Keratoplasty, Penetrating; D008875:Middle Aged; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents