Diagnostic Microbiology & Infectious Disease
Volume 67, Issue 2 , Pages 185-187, June 2010

Bilateral endophthalmitis as a primary manifestation of Streptococcus dysgalactiae endocarditis and the role of 16S rDNA polymerase chain reaction in identification

  • Nimal Wickramasinghe

      Affiliations

    • Department of Microbiology, University Hospital of Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX West Midlands, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44-2476-965455; fax: +44-2476-965441.
  • ,
  • Kathryn Harris

      Affiliations

    • Microbiology Virology and Infection Control, Great Ormond Street Hospital for Children NHS Trust, WC1N 3J London, UK

Received 5 November 2009; accepted 14 January 2010. published online 25 March 2010.

Abstract 

Bilateral endogenous endophthalmitis is a rare complication of endocarditis. We present the case of a 72-year-old female who presented with heart failure and bilateral endogenous endophthalmitis. Endocarditis was confirmed on transesophageal echocardiography. All cultures were negative, but 16S rDNA sequencing on vitreal aspirates identified Streptococcus dysgalactiae as the likely pathogen.

Keywords: Bilateral endophthalmitis, Endocarditis, 16s rDNA, Streptococcus dysgalactiae, Group G Streptococcus

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PII: S0732-8893(10)00012-X

doi:10.1016/j.diagmicrobio.2010.01.008

Diagnostic Microbiology & Infectious Disease
Volume 67, Issue 2 , Pages 185-187, June 2010