title: Atypical pneumococcal scleritis after pterygium excision: case report and literature review.
abstract: OBJECTIVE
  To describe an unusual case of pneumococcal scleritis after pterygium excision and to review the literature on infectious scleritis associated with pterygium excision.
  
  
  METHODS
  Case report and literature review.
  
  
  RESULTS
  A 58-year-old white man underwent excision of a nasal pterygium of the right eye. Two weeks postoperatively, the patient developed an infectious scleritis caused by Streptococcus pneumoniae. The scleritis was complicated with hypopyon and a scleral necrosis area 6 mm away from the superior limbus with a positive Seidel test. Topical and systemic antibiotics resolved the case without any surgical procedures.
  
  
  CONCLUSIONS
  Streptococcus pneumoniae must be considered as a possible agent in cases of necrotizing scleritis associated with pterygium excision.
authors.affiliation: School of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
authors.forename: Jayter Silva
authors.initials: JS
authors.lastname: Paula
authors.forename: Maria Lúcia Habib
authors.initials: ML
authors.lastname: Simão
authors.forename: Eduardo Melani
authors.initials: EM
authors.lastname: Rocha
authors.forename: Erasmo
authors.initials: E
authors.lastname: Romão
authors.forename: Antonio Augusto
authors.initials: AA
authors.lastname: Velasco Cruz
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011183:Postoperative Complications; D011625:Pterygium / Q000601:surgery*; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000900:Anti-Bacterial Agents