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Title: Rare manifestations of Streptococcus pneumonia infection; the first case report in Thailand and literature review of pneumococcal endophthalmitis and endocarditis
Authors: Peerapat Thaisiam
Pinyo Rattanaumpawan
Mahidol University
Keywords: Medicine
Issue Date: 1-Jan-2014
Citation: Journal of the Medical Association of Thailand. Vol.97, No.12 (2014), 1364-1369
Abstract: © 2014, Medical Association of Thailand. All rights reserved. We report a case of endogenous endophthalmitis and endocarditis caused by a rare causative organism: Streptococcus pneumoniae. A 69-year-old woman with diabetes mellitus and pre-existing mitral regurgitation presented with acute fever and severe left eye pain. Ophthalmologic examination revealed bilateral endophthalmitis. Blood and vitreous fluid culture grew penicillin-susceptible S. pneumoniae. Transesophageal echocardiogram documented a 5-mm oscillating mass at right coronary cusp of aortic valve. After 4 weeks of combined ceftriaxone and levofloxacin therapy, the patient improved and was later discharged with blindness in her left eye.
ISSN: 01252208
Appears in Collections:Scopus 2011-2015

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