A rare case of endogenous Streptococcus group C endophthalmitis associated with cellulitis
Group C Streptococci are part of the human flora1 and rarely cause opportunistic infections. Here we report a case of endophthalmitis presumably caused by a cellulitis of the arm.
Streptococcal endophthalmitis is exogenous in the vast majority of cases and is caused by organisms from the viridians group (50%), followed by Enterococcus (27%), Streptococcus pneumoniae (12.5%), and beta-haemolytic Streptococci (10.5%).2 Endogenous Streptococcalendophthalmitis is uncommon, and we could only find two case reports in which group C Streptococcus was the causative microorganism.3, 4 Our case highlights the importance of early recognition and the poor prognosis of endogenous Streptococcal endophthalmitis.
Labels: arm, arm swelling, Blood cultures, ceftazidime, Cellulitis, diabetes mellitus, endophthalmitis, flucloxacillin, lymph edema, lymphedema, penicillin, prednisone, Streptococcus group C, vancomycin