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Levofloxacin-resistant-Streptococcus mitis endophthalmitis: a unique presentation of bacterial endocarditis

¹ Department of Medicine, New York Hospital Queens, New York, USA

² Division of Infectious Diseases, New York Hospital Queens, New York, USA

³ Department of Microbiology, Weill Cornell Medical College, New York, USA

⁴ Department of Medicine, Weill Cornell Medical College, New York, USA

Correspondence
Amreen Dinani
amreen.dinani{at}gmail.com

Received May 11, 2009
Accepted June 17, 2009

Endogenous endophthalmitis is a rare complication of infective endocarditis and has been decreasing due to the availability of effective antibiotics. We highlight a case of endogenous endophthalmitis due to levofloxacin-resistant Streptococcus mitis presenting as infective endocarditis. Endogenous endophthalmitis should be considered as a manifestation of an underlying systemic disease, especially in patients who present with non-specific signs and symptoms with no obvious source of precipitating infection.