title: Exogenous Streptococcus pneumoniae Endophthalmitis in Diabetic Rabbits.
abstract: Diabetics are at increased risk for eye infections including bacterial endophthalmitis. It is unclear whether the severity of endophthalmitis is greater in these patients due to confounding factors such as pre-existing ocular diseases in some but not others. Therefore, we tested the hypothesis that disease severity and/or bacterial loads would be significantly higher in a Type I diabetic rabbit model of Streptococcus pneumoniae endophthalmitis. Rabbits were treated with alloxan to destroy pancreatic islet cells, or mock-treated with vehicle, and maintained for 10 days before intravitreal infection with S. pneumoniae E353. Clinical scoring of the eyes was performed 24 and 48 hours after infection, followed by euthanasia and vitreous harvest to quantitate bacterial loads. There were no significant differences in clinical scores (P ≥ 0.440) or bacterial loads (P = 0.736), however, 4/12 (33%) of the diabetic rabbits became bacteremic. This finding not only indicates a breakdown in the blood-ocular barrier, but also prompts further investigation into the exploitation of the diabetic eye by the streptococci.
authors.affiliation: University of Mississippi Medical Center, Department of Microbiology and Immunology, Jackson, Mississippi 39216, USA.
authors.forename: Angela H
authors.initials: AH
authors.lastname: Benton
authors.affiliation: University of Mississippi Medical Center, Center for Comparative Research, Jackson, Mississippi 39216, USA.
authors.forename: Linda K
authors.initials: LK
authors.lastname: Fulton
authors.affiliation: University of Mississippi Medical Center, Department of Microbiology and Immunology, Jackson, Mississippi 39216, USA.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Marquart
mesh_terms: D000818:Animals; D001786:Blood Glucose; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000378:metabolism; D004195:Disease Models, Animal; D009877:Endophthalmitis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D010641:Phenotype; D011008:Pneumococcal Infections / Q000209:etiology*; D011817:Rabbits; D013296:Streptococcus pneumoniae
chemical_list: D001786:Blood Glucose