RT Journal Article SR Electronic T1 Endogenous Streptococcus mitis panophthalmitis in a patient visiting the Dominican Republic JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e239187 DO 10.1136/bcr-2020-239187 VO 14 IS 7 A1 Liu, Victoria A1 Pirbhai, Adnan A1 Masood, Syed Faraz YR 2021 UL http://casereports.bmj.com/content/14/7/e239187.abstract 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.