Atypical pneumococcal scleritis after pterygium excision: case report and literature review.
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.
Paula
Jayter Silva
JS
School of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
Simão
Maria Lúcia Habib
ML
Rocha
Eduardo Melani
EM
Romão
Erasmo
E
Velasco Cruz
Antonio Augusto
AA
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*
D000900:Anti-Bacterial Agents