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Article
February 1988

Group G Streptococci as a Cause of Bacterial Endophthalmitis

Arch Ophthalmol. 1988;106(2):171-172. doi:10.1001/archopht.1988.01060130181014

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Abstract

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

References
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Gamel JW, Allansmith MR:  Metastatic staphylococcal endophthalmitis presenting as chronic iridocyclitis . Am J Ophthalmol 1974;77:454-458.
2.
Farber BP, Weinbaum DL, Dummer JS:  Metastatic bacterial endophthalmitis . Arch Intern Med 1985;145:62-64.Article
3.
Vartian C, Lerner PI, Shlaes DM, et al:  Infections due to Lancefield group G streptococci . Medicine 1985;64:75-88.Article
4.
Bisno AL, Craven DE, McCabe WR: Group G streptococci from bacteremic human infections: Studies of antigenic composition and virulence properties, abstract 1121. Program and Abstracts of the 25th Interscience Conference on Antimicrobial Agents and Chemotherapy, Minneapolis, Oct 2, 1985, p 298.
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Wise R, Donovan IA:  Tissue penetration and metabolism of ciprofloxacin . Am J Med 1987;82( (suppl 4A) ):103-107.
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