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Two elderly patients with uncontrolled diabetes (hemoglobin A1c: 7.9% and 14%) presented to our department with complaints of sudden-onset visual loss on the right eye. Ophthalmologic investigations revealed bacterial endophthalmitis and a systemic assessment with galliumscintigraphy showed multiple infectious foci (Picture). In addition, blood cultures were positive for Streptococcus pneumoniae in both patients. The pathogen was detected in the vitreous fluid in Case 1, but not Case 2. The capsular serotype of S. pneumoniae was identified to be 22 and any one

Disseminated Streptococcal Endophthalmitis in Two Diabetic Patients