Group B streptococcus endogenous endophthalmitis presenting as septic arthritis and a homonymous hemianopsia due to embolic stroke. uri icon

Overview

abstract

  • PURPOSE: To report a case of group B streptococcus (GBS) endogenous endophthalmitis in a patient presenting with septic arthritis and a homonymous hemianopsia due to embolic stroke. DESIGN: Observational case report. METHODS: A 75-year-old woman with septic arthritis and a homonymous hemianopsia due to embolic stroke was examined and found to have endogenous GBS endophthalmitis due to bacterial endocarditis. RESULTS: Magnetic resonance imaging showed many septic emboli to the brain, including the left occipital lobe. Fundus examination showed evidence for endogenous endophthalmitis. Blood and urine cultures were positive for GBS. A mitral valve vegetation was presumed to be the cause of the intracranial septic emboli and was demonstrated on transesophageal echocardiography. CONCLUSIONS: Septic arthritis and embolic stroke are suggestive of endocarditis and sepsis. Endogenous endophthalmitis in this case led to transesophageal echocardiography, which was diagnostic for endocarditis.

publication date

  • August 1, 2004

Research

keywords

  • Arthritis, Infectious
  • Endophthalmitis
  • Eye Infections, Bacterial
  • Hemianopsia
  • Intracranial Embolism
  • Streptococcal Infections
  • Streptococcus agalactiae
  • Stroke

Identity

Scopus Document Identifier

  • 3843108994

Digital Object Identifier (DOI)

  • 10.1016/j.ajo.2004.02.068

PubMed ID

  • 15289147

Additional Document Info

volume

  • 138

issue

  • 2