Polymicrobial endogenous endophthalmitis.
OBJECTIVE
We report a case of polymicrobial endogenous endophthalmitis caused by group G streptococcus and Staphylococcus capitis.


METHODS
Standard ophthalmologic examinations.


RESULTS
A 72-year-old woman presented with signs of uveitis. Treatment with broad-spectrum antibiotics was prescribed, and vitrectomy with intravitreal antibiotic administration was then performed. Blood cultures were positive for group G streptococcus and coagulase-negative staphylococcus. Cultures of vitreous aspirate yielded group G streptococcus and S. capitis. Uveitis was resolved with antibiotic treatment and vitrectomy, with best-corrected visual acuity of 20/20 at 6 months.


CONCLUSIONS
Endogenous endophthalmitis can be caused by two intravitreal organisms (e.g., group G streptococcus and S. capitis). Early treatment with broad-spectrum antibiotics and vitrectomy with intravitreal injections of antibiotic might be considered in similar cases.
From the *Department of Ophthalmology, JA Gifu Koseren, Chuno General Hospital, Gifu, the †Department of Ophthalmology, Gifu University Graduate School of Medicine, Gifu, and the ‡Division of Anaerobe Research, Life Science Research Center, Gifu University, Division of Anaerobe Research, Gifu, Japan.
Kiyofumi
K
Mochizuki
Toshihiko
T
Katada
Hideaki
H
Kawakami
Akira
A
Sawada
Hiroshige
H
Mikamo