title: Gemella haemolysans keratitis and consecutive endophthalmitis.
abstract: 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.
authors.affiliation: Department of Ophthalmology, The New York Eye and Ear Infirmary, New York 10003, USA. ritterband@msn.com
authors.forename: David
authors.initials: D
authors.lastname: Ritterband
authors.forename: Mahendra
authors.initials: M
authors.lastname: Shah
authors.forename: Michael
authors.initials: M
authors.lastname: Kresloff
authors.forename: Myrna
authors.initials: M
authors.lastname: Intal
authors.forename: Uri
authors.initials: U
authors.lastname: Shabto
authors.forename: John
authors.initials: J
authors.lastname: Seedor
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents