دورية أكاديمية
ENDOGENOUS ENDOPHTHALMITIS CAUSED BY GROUP B STREPTOCOCCUS IN A HEALTHY, TERM NEONATE.
العنوان: | ENDOGENOUS ENDOPHTHALMITIS CAUSED BY GROUP B STREPTOCOCCUS IN A HEALTHY, TERM NEONATE. |
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المؤلفون: | O'Bryhim BE; John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri., Harocopos GJ; John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri.; Department of Pathology and Immunology, Washington University in St. Louis, St. Louis, Missouri; and., Rajagopal R; John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri., Schwartz DJ; Division of Infectious Disease, Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri., Lee AR; John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri. |
المصدر: | Retinal cases & brief reports [Retin Cases Brief Rep] 2023 Mar 01; Vol. 17 (2), pp. 191-194. |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wolters Kluwer Health Country of Publication: United States NLM ID: 101298744 Publication Model: Print Cited Medium: Internet ISSN: 1937-1578 (Electronic) Linking ISSN: 19351089 NLM ISO Abbreviation: Retin Cases Brief Rep Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Hagerstown, MD : Wolters Kluwer Health, c2007- |
مواضيع طبية MeSH: | Streptococcal Infections*/diagnosis , Endophthalmitis*/microbiology , Eye Infections, Bacterial*/diagnosis, Infant, Newborn ; Child ; Humans ; Male ; Streptococcus agalactiae ; Vitreous Body/pathology ; Magnetic Resonance Imaging |
مستخلص: | Purpose: The purpose of this study was to describe an unusual case of unilateral, endogenous endophthalmitis in an otherwise healthy, term neonate. Methods: A 3-week-old otherwise healthy, term male infant was referred to St. Louis Children's Hospital for a second opinion of presumed panuveitis of the right eye. Results: Diffusion-weighted magnetic resonance imaging demonstrating purulent intraocular contents facilitated the diagnosis of endophthalmitis. Examination of surgical vitreous samples by staining and cytology demonstrated gram-positive bacterial cocci in short chains, thereby confirming endophthalmitis. Polymerase chain reaction testing of vitreous fluid identified Streptococcus agalactiae , despite an unremarkable systemic workup and a negative prepartum maternal Group B streptococcal screen. Conclusion: Endogenous endophthalmitis is a rare but devastating cause of vision loss in otherwise healthy, term neonates. Prompt diagnosis may be facilitated by magnetic resonance imaging and diagnostic vitreous biopsy. |
References: | Morgan JA, Cooper DB. Group B streptococcus and pregnancy. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2020. Available at: http://www.ncbi.nlm.nih.gov/books/NBK482443/ . Accessed May 10, 2020. Verani JR, McGee L, Schrag SJ, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC). Prevention of perinatal group B streptococcal disease—revised guidelines from CDC, 2010. MMWR Recomm Rep 2010;59:1–36. Regan JA, Klebanoff MA, Nugent RP, et al. Colonization with group B streptococci in pregnancy and adverse outcome. VIP Study Group. Am J Obstet Gynecol 1996;174:1354–1360. McCourt EA, Hink EM, Durairaj VD, Oliver SC. Isolated group B streptococcal endogenous endophthalmitis simulating retinoblastoma or persistent fetal vasculature in a healthy full-term infant. J AAPOS 2010;14:352–355. Wu Z, Uzcategui N, Chung M, et al. Group B streptococcal endogenous endophthalmitis in a neonate. Retina 2006;26:472–473. Shields JA, Shields CL, Eagle RC, et al. Endogenous endophthalmitis simulating retinoblastoma. The 1993 David and Mary Seslen endowment lecture. Retina 1995;15:213–219. Tsai YY, Tseng SH. Pediatric endogenous endophthalmitis. J Formos Med Assoc 2000;99:435–437. Radhakrishnan R, Cornelius R, Cunnane MB, et al. MR imaging findings of endophthalmitis. Neuroradiol J 2016;29:122–129. Rumboldt Z, Moses C, Wieczerzynski U, Saini R. Diffusion-weighted imaging, apparent diffusion coefficients, and fluid-attenuated inversion recovery MR imaging in endophthalmitis. AJNR Am J Neuroradiol 2005;26:1869–1872. Jalali S, Pehere N, Rani PK, et al. Treatment outcomes and clinicomicrobiological characteristics of a protocol-based approach for neonatal endogenous endophthalmitis. Eur J Ophthalmol 2014;24:424–436. |
تواريخ الأحداث: | Date Created: 20210125 Date Completed: 20230227 Latest Revision: 20230817 |
رمز التحديث: | 20240628 |
DOI: | 10.1097/ICB.0000000000001127 |
PMID: | 33492072 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1937-1578 |
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DOI: | 10.1097/ICB.0000000000001127 |