A Case of endophthalmitis caused by an oral bacterium

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A case of endophthalmitis caused by an oral bacte riumis presented. A 53-year-old man visited the department of ophthalomology complaining of de creasedvisual acuity, and a diagnosis of endophthal mitiswas made. Initial blood examination showed that he had severe diabetes (HbA1c 11.6%, blood sugar 394mg/dl) and severe inflamation (white blood cells 17, 420/μl, C-reactive protein 18mg/dl). He was referred to our department for oral examination and care, because no infection focus was found elsewhere on his body, andStreptococcus agalactiae (group B streptococci) was detected in a blood culture. His oral hygiene was poor, and severe periodontitis was found. An oral adherent smear culture revealedS. agaractiae (group B streptococci). The patient was treated with antibiotics and an antifungal agent. Further, insulin therapy was started for his diabetes at the same time. Nine days after his first visit to us, nine teeth with severe periodontitis were extracted.Then, his general condition improved, and the white blood cell number and value of C-reactive protein decreased. After surgery on both eyes, he recovered vision to 0.2 in his left eye, but lost sight in his right eye.
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