A case of endogenous endophthalmitis complicated by neutropenia following bacteremia with Streptococcus mitis resistant to beta-lactam antibiotics

Abstract

This report is focused on a case of endogenous endophthalmitis following Streptococcus mitis bacteremia that occurred during chemotherapy for acute myeloid leukemia, despite broad-spectrum beta-lactam antibiotics and vancomycin. The patient partially recovered visual acuity. In conclusion, Streptococcus mitis bacteremia complicated by febrile neutropenia may cause endogenous endophthalmitis within a very short timeframe.

Keywords::

• Endogenous endophthalmitis
• alpha Streptococcus
• leukemia
• neutropenia

Acknowledgements

I thank colleagues at Kobe City Medical Center General Hospital, Department of Clinical Immunology and Hematology for advice on considering discussion.

Declaration of interest: The author declares no proprietary, financial, professional or other personal interests of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, this manuscript.