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To the Editor.
—Endophthalmitis occurs most commonly as a complication of ocular surgery or following nonsurgical trauma. However, the infectious agent may reach the eye via hematogenous spread from a distant site of infection. Metastatic bacterial endophthalmitis has been reported infrequently in the antibiotic era. In a review of 20 such infections, Streptococcus pneumoniae, Neisseria meningitidis, and staphylococci accounted for the majority of cases.1 Endophthalmitis due to other species of streptococci has been reported infrequently in association with facial trauma, congenital heart disease with endocarditis, and lymphoma.2 We report a case of bacterial endophthalmitis due to group G streptococci that occurred in a patient with lymphoma in the absence of any obvious underlying septic focus or facial trauma.
Report of a Case.
—A 42-year-old woman with lymphocytic lymphoma was admitted to M. D. Anderson Hospital and Tumor Institute, Houston, 21 days following her last course of chemotherapy with
Berkey PB, Rolston KVI. Group G Streptococci as a Cause of Bacterial Endophthalmitis. Arch Ophthalmol. 1988;106(2):171-172. doi:10.1001/archopht.1988.01060130181014