Bilateral endogenous endophthalmitis associated with infective endocarditis: case report



Título del documento: Bilateral endogenous endophthalmitis associated with infective endocarditis: case report
Revue: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000290660
ISSN: 1413-8670
Autores: 1





Instituciones: 1Universidade Federal de Uberlandia, Escola de Medicina, Uberlandia, Minas Gerais. Brasil
Año:
Periodo: Dic
Volumen: 5
Número: 6
Paginación: 356-359
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés 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
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Oftalmología,
Sistema cardiovascular,
Endoftalmitis,
Endocarditis bacteriana
Keyword: Medicine,
Cardiovascular system,
Diagnosis,
Ophthalmology,
Endophthalmitis,
Bacterial endocarditis
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