Blepharoconjunctivitis mimicking conjunctival tumor associated with Streptococcus intermedius sinusitis: case report and literature review
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Streptococcus intermedius , a commensal bacterium in the human oral cavity, can occasionally cause severe infections in deep tissues. Here, we report the first known case of infectious blepharoconjunctivitis associated with S. intermedius sinusitis mimicking a conjunctival tumor. Smear microscopy of the eye and nasal discharge was useful for the differential diagnosis. Metagenomic analysis using MinION as adjunctive diagnostic tool has contributed to rigorous species identification of the pathogenic strain.