ABSTRACT
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Subject(s)
Humans , Male , Aged , Angina, Unstable/complications , Catheterization/instrumentation , Catheterization/methods , Cardiac Catheterization/methods , Cardiac Catheterization , Tropicamide/therapeutic use , Retina/pathology , Retina , Echocardiography/methods , Ophthalmoscopy/methods , Ophthalmoscopy , Angioplasty/methods , Angioplasty , Retina/anatomy & histology , Retina/physiopathologyABSTRACT
CASO CLÍNICO: Paciente con amaurosis brusca debido a oclusión de arteria central de la retina (OACR), en el que se objetivó insuficiencia mitral y hemocultivos positivos para Streptococcus viridans. Con el estudio de ecografía transesofágica, se diagnosticó de endocarditis infecciosa subaguda sobre válvula nativa mitral que cursó sin fiebre y con la pérdida de visión como único síntoma. DISCUSIÓN: La OACR debida a endocarditis infecciosa es muy infrecuente, y hay escasos casos reportados en la literatura médica. La semiología y el estudio sistemático y exhaustivo de los pacientes con esta OACR, ayuda a descubrir enfermedades graves subyacentes. La endocarditis infecciosa tiene formas muy diversas de presentación y con frecuencia se requiere una alta sospecha clínica para llegar a su diagnóstico
CLINICAL CASE: A patient with acute amaurosis due central retinal artery occlusion (CRAO), who had mitral regurgitation and Streptococcus viridans positive blood cultures. Using transesophageal ultrasound, the patient was diagnosed with native valve infective endocarditis without fever, and with loss of vision as the only symptom. DISCUSSION: CRAO due to infective endocarditis is rare and there are few cases reported in the literature. Semiology and a systematic and comprehensive study of patients with this ophthalmological pathology helps uncover serious underlying medical conditions. Infective endocarditis has many different forms of presentation and a high clinical suspicion is often required to reach a diagnosis
Subject(s)
Adult , Humans , Male , Retinal Artery/abnormalities , Retinal Artery/metabolism , Endocarditis/genetics , Endocarditis/metabolism , Blindness/metabolism , Mitral Valve Insufficiency/congenital , Pharmaceutical Preparations/administration & dosage , Systolic Murmurs/genetics , Retinal Artery/cytology , Retinal Artery/injuries , Endocarditis/physiopathology , Endocarditis/rehabilitation , Blindness/pathology , Mitral Valve Insufficiency/genetics , Pharmaceutical Preparations , Systolic Murmurs/metabolismABSTRACT
CLINICAL CASE: A patient with acute amaurosis due central retinal artery occlusion (CRAO), who had mitral regurgitation and Streptococcus viridans positive blood cultures. Using transesophageal ultrasound, the patient was diagnosed with native valve infective endocarditis without fever, and with loss of vision as the only symptom. DISCUSSION: CRAO due to infective endocarditis is rare and there are few cases reported in the literature. Semiology and a systematic and comprehensive study of patients with this ophthalmological pathology helps uncover serious underlying medical conditions. Infective endocarditis has many different forms of presentation and a high clinical suspicion is often required to reach a diagnosis.
