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International Ophthalmology

, Volume 34, Issue 3, pp 643–646 | Cite as

Late-onset bleb-related endophthalmitis caused by Streptococcus pseudopneumoniae

  • Hideaki Kawakami
  • Yuko Nakane
  • Hiroko Inuzuka
  • Tominori Fukagawa
  • Toshihiro Muto
  • Kiyofumi Mochizuki
  • Kiyofumi Ohkusu
  • Hiroyuki Suematsu
  • Yuka Yamagishi
  • Hiroshige Mikamo
Case Report

Abstract

We report our findings in a 63-year-old male who developed late-onset bleb-related endophthalmitis. The patient had undergone glaucoma surgery 46 years earlier, and had a thin-walled cystic bleb prior to the endophthalmitis in his right eye. He underwent immediate vitrectomy with intravitreal injections of ceftazidime and vancomycin. After surgery, he was given topical 0.5 % moxifloxacin and 1 % vancomycin, intravenous doripenem, and oral minocycline. Culture of the vitreous specimen identified Streptococcus pseudopneumoniae by 16S rRNA sequence analysis, by optochin susceptibility test, and by bile solubility test. Our findings indicate that S. pseudopneumoniae can be isolated from a late-onset bleb-related endophthalmitis and that molecular analysis and phenotypic testing can be accurate methods to identify S. pseudopneumoniae.

Keywords

Late-onset bleb-related endophthalmitis Streptococcus pseudopneumoniae Sequence analysis Optochin susceptibility test Bile solubility test 

Notes

Conflict of interest

The authors have no proprietary or financial interests in any products used in this study.

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Hideaki Kawakami
    • 1
  • Yuko Nakane
    • 1
  • Hiroko Inuzuka
    • 1
  • Tominori Fukagawa
    • 2
  • Toshihiro Muto
    • 2
  • Kiyofumi Mochizuki
    • 3
  • Kiyofumi Ohkusu
    • 4
  • Hiroyuki Suematsu
    • 5
  • Yuka Yamagishi
    • 5
  • Hiroshige Mikamo
    • 5
  1. 1.Department of OphthalmologyGifu Municipal HospitalGifuJapan
  2. 2.Department of Clinical LaboratoryGifu Municipal HospitalGifuJapan
  3. 3.Department of OphthalmologyGifu University Graduate School of MedicineGifuJapan
  4. 4.Department of Microbiology, Regeneration and Advanced Medical ScienceGifu University Graduate School of MedicineGifuJapan
  5. 5.Department of Infection Control and PreventionAichi Medical UniversityNagakuteJapan

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