Echogenic Diagnosis of Bilateral Subretinal Abscesses in a Patient with Group B Streptococcus Endogenous Endophthalmitis.

PURPOSE: To present a case of late-stage group B streptococcus endogenous endophthalmitis in a patient that developed subretinal abscesses in both eyes.

METHODS

Blood cultures were positive for group B streptococcus. Echography was done on several occasions and echogenic features of the case are described.

RESULTS

An 80 year old woman with a significant medical history presented with visual acuity of no light perception in both eyes. Bedside examination showed hypopyon and anterior chamber cells. Echography identified subretinal abscesses in both eyes. She underwent anterior chamber paracentesis of both eyes and intravitreal injections of vancomycin (1mg/0.1ml) and ceftazidime (2.25mg/0.1ml). The patient expired 3 days after treatment.

CONCLUSION

A patient with group B streptococcus-related endogenous endophthalmitis and subretinal abscesses presented with poor visual acuity. B-scan was useful in identifying the subretinal abscesses in both eyes.