PT - JOURNAL ARTICLE AU - Liu, Victoria AU - Pirbhai, Adnan AU - Masood, Syed Faraz TI - Endogenous <em>Streptococcus mitis</em> panophthalmitis in a patient visiting the Dominican Republic AID - 10.1136/bcr-2020-239187 DP - 2021 Jul 01 TA - BMJ Case Reports PG - e239187 VI - 14 IP - 7 4099 - http://casereports.bmj.com/content/14/7/e239187.short 4100 - http://casereports.bmj.com/content/14/7/e239187.full SO - BMJ Case Reports2021 Jul 01; 14 AB - A 67-year-old woman presented with painful, acute vision loss after 5 days of fever and muscle aches while visiting the Dominican Republic. She had no recent history of ocular surgery, dental work or recent trauma. Anterior chamber aspiration confirmed an initial diagnosis of endogenous endophthalmitis, positive for Streptococcus mitis that progressed to panophthalmitis on return to Canada. Treatment included systemic antibiotics, intravitreal antibiotics and intravitreal dexamethasone. Despite the best medical treatment, the left eye progressed to corneal perforation 5 weeks after presentation. An evisceration with fitted orbital implant was successful in alleviating pain following the surgery. S. mitis is a rare, but possible cause of endogenous endophthalmitis and panophthalmitis. It was important to work with a multidisciplinary and global team to coordinate and offer appropriate treatment measures. Although vision was lost, evisceration of the left eye provided ocular comfort and good cosmetic outcomes for the patient.