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Viridans group Streptococcus subretinal abscess
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  1. NICOLE R RIMPEL,
  2. EMMETT T CUNNINGHAM JR,
  3. EDWARD L HOWES JR,
  4. ROBERT Y KIM
  1. Department of Ophthalmology, San Francisco General Hospital and the University of California, San Francisco, USA
  1. Dr R Y Kim, UCSF Department of Ophthalmology K301, 10 Kirkham Street, San Francisco, CA 94143–0730, USA.

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Editor,—Subretinal abscess is an unusual entity, occurring primarily in immunocompromised individuals. Reported causative organisms include fungi1 2 and Gram negative rods.3 4 Here we report a subretinal infection resulting from the Gram positive organism viridans groupStreptococcus in a pancytopenic patient.

CASE REPORT

A 56 year old man undergoing chemotherapy for IgG multiple myeloma presented with 3 days of fever. He denied injecting drug abuse. He had a temperature of 101.5°F, poor dentition, a quiet indwelling catheter site on the chest, and no cardiac murmur. He was pancytopenic with a haematocrit of 14.2% (normal 39–49%), white blood cell count of 0.2 × 109/l (normal 4.5–11.0), absolute neutrophil count of 0.1 × 109/l (normal 1.8–6.8), and platelet count of 12 × 109/l (normal 150–450). Chestx ray and urinalysis …

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