Open AccessNecrotizing Streptococcus pyogene s Infiltrating Conjunctiva and Tenon’s Capsule: A Case Report
Author(s) -
de Freitas Santoro Dalton,
Polizelli Murilo Ubukata,
Cervi Rosa Paulo Alberto,
de Freitas Denise,
de Sousa Luciene Barbosa,
de Oliveira Lauro Augusto
Publication year - 2021
Publication title -
case reports in ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.299
H-Index - 17
ISSN - 1663-2699
DOI - 10.1159/000513653
Subject(s) - case report
We report a case of a patient with necrotizing infection of the conjunctiva and Tenon’s capsule caused by Streptococcus pyogenes , a rare and atypical ophthalmologic condition. A 50-years-old male patient with acute red-eye, purulent discharge, and pain diagnosed with post-septal cellulitis presented with a yellowish and dense membrane covering the ocular surface with necrotic Tenon’s capsule. Patient was hospitalized, and intravenous antibiotics were initiated (ceftriaxone and clindamycin). Topical antibiotics and corticosteroids were also administered, and the infection was eradicated in 2 weeks. Ancillary exams excluded rheumatologic involvement. Conjunctival culture confirmed Streptococcus pyogenes growth. Tenon’s biopsy revealed unspecific acute inflammatory necrosis. This is an uncommon condition in daily ophthalmological clinic. Literature review reported 3 cases associated with previous ocular surgery.