Streptococcus bovis causing perforating corneal ulcer.
OBJECTIVE
The purpose of this study was to report the first case of Streptococcus bovis causing a perforating corneal ulcer in a healthy adult.


METHODS
Observational case report.


RESULTS
A healthy 77-year-old man presented with rapidly progressing corneal ulcer, resulting in perforation within 4 days. Preoperative and operative cultures isolated the same organism, S. bovis, susceptible only to vancomycin and ceftriaxone. The patient underwent a successful corneal transplantation, with histopathology revealing full-thickness necrosis and scattered bacteria.


CONCLUSIONS
Although a rare pathogen in ocular infections, we report a case of devastating corneal infection caused by S. bovis and highlight consideration of this pathogen in rapidly progressing corneal ulcers.
Jain
Atul
A
Department of Ophthalmology, Stanford University School of Medicine, Stanford, CA 94304, USA. atuljain@stanford.edu
Desai
Rajen U
RU
Jain
Ruby
R
Rachakonda
Leelanand
L
D000368:Aged; D016039:Corneal Transplantation; D003320:Corneal Ulcer / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D018450:Disease Progression; D015818:Eye Infections, Bacterial / Q000150:complications*; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000150:complications*; D016985:Streptococcus bovis; D013997:Time Factors