Bilateral endogenous endophthalmitis associated with infective endocarditis: case report



Document title: Bilateral endogenous endophthalmitis associated with infective endocarditis: case report
Journal: The brazilian journal of infectious diseases
Database: PERIÓDICA
System number: 000290660
ISSN: 1413-8670
Authors: 1





Institutions: 1Universidade Federal de Uberlandia, Escola de Medicina, Uberlandia, Minas Gerais. Brasil
Year:
Season: Dic
Volumen: 5
Number: 6
Pages: 356-359
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, analítico
English abstract Bilateral endogenous endophthalmitis is a rare condition initiated by infection by microbes in the bloodstream, such as those arising from a foci of infective endocarditis. We report a case and discuss the diagnostic aspects and the clinical outcome of a patient with characteristic findings of the disease. The patient was a 49 year old white male who had a metallic aortic valve implanted 7 months previously, and who presented to the hospital with 10 days of fever, cough and dyspnea, then diarrhea and mental confusion. On the second day of hospitalization, he experienced sudden loss of vision in both eyes. A Gram-positive coccobacillus was isolated from the bloodstream, he was treated with fluoroquinolone with disappearance of fever, decreased ocular inflammation, and improvement in his vision to light perception. He later underwent valve replacement surgery but died during the procedure. We review the occurrence of ocular signs and symptoms and their importance in patients with endocarditis
Disciplines: Medicina
Keyword: Diagnóstico,
Oftalmología,
Sistema cardiovascular,
Endoftalmitis,
Endocarditis bacteriana
Keyword: Medicine,
Cardiovascular system,
Diagnosis,
Ophthalmology,
Endophthalmitis,
Bacterial endocarditis
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