Bilateral endogenous endophthalmitis associated with infective endocarditis: case report
Braz. j. infect. dis
;
5(6): 356-359, dec. 2001.
Article
in English
| LILACS
| ID: lil-331038
RESUMO
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Endophthalmitis
/
Gram-Positive Bacterial Infections
/
Endocarditis, Bacterial
/
Gram-Positive Bacteria
Type of study:
Risk factors
Limits:
Humans
/
Male
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2001
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal University of Uberlandia/BR
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