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October 1978

Peptostreptococcal Endophthalmitis With a Relapsing Course

Author Affiliations

From the Department of Ophthalmology, University of Illinois Eye and Ear Infirmary, Chicago. Dr Mason is now with Memorial Hospital, Houston.

Arch Ophthalmol. 1978;96(10):1813-1816. doi:10.1001/archopht.1978.03910060325005

• A posttraumatic exogenous endophthalmitis developed that was due to Peptostreptococcus. This Gram-positive anaerobe was isolated in pure culture from vitreous. The endophthalmitis showed a bacteriologic and clinical relapse despite conventional routes of antimicrobial treatment. A second clinical relapse occurred despite apparent vitreal sterilization with intravitreal antibiotics. The response to vitrectomy was impressive, and postoperatively the patient's visual acuity improved to 20/20.

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