Bilateral endogenous endophthalmitis associated with infective endocarditis: case report
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 d...
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2001-01-01
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doaj-998da1db3db1437180f2f34e15780c732020-11-25T03:49:51ZengElsevierBrazilian Journal of Infectious Diseases1413-86701678-43912001-01-0156356359Bilateral endogenous endophthalmitis associated with infective endocarditis: case reportArcieri Enyr SaranJorge Eduardo FerreiraFerreira Lizane de AbreuFonseca Maria B. daFerreira Magno AntônioArcieri Rafael SaranRocha Flávio JaimeBilateral 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000600011Bacterial endocarditisendophthalmitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Arcieri Enyr Saran Jorge Eduardo Ferreira Ferreira Lizane de Abreu Fonseca Maria B. da Ferreira Magno Antônio Arcieri Rafael Saran Rocha Flávio Jaime |
spellingShingle |
Arcieri Enyr Saran Jorge Eduardo Ferreira Ferreira Lizane de Abreu Fonseca Maria B. da Ferreira Magno Antônio Arcieri Rafael Saran Rocha Flávio Jaime Bilateral endogenous endophthalmitis associated with infective endocarditis: case report Brazilian Journal of Infectious Diseases Bacterial endocarditis endophthalmitis |
author_facet |
Arcieri Enyr Saran Jorge Eduardo Ferreira Ferreira Lizane de Abreu Fonseca Maria B. da Ferreira Magno Antônio Arcieri Rafael Saran Rocha Flávio Jaime |
author_sort |
Arcieri Enyr Saran |
title |
Bilateral endogenous endophthalmitis associated with infective endocarditis: case report |
title_short |
Bilateral endogenous endophthalmitis associated with infective endocarditis: case report |
title_full |
Bilateral endogenous endophthalmitis associated with infective endocarditis: case report |
title_fullStr |
Bilateral endogenous endophthalmitis associated with infective endocarditis: case report |
title_full_unstemmed |
Bilateral endogenous endophthalmitis associated with infective endocarditis: case report |
title_sort |
bilateral endogenous endophthalmitis associated with infective endocarditis: case report |
publisher |
Elsevier |
series |
Brazilian Journal of Infectious Diseases |
issn |
1413-8670 1678-4391 |
publishDate |
2001-01-01 |
description |
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. |
topic |
Bacterial endocarditis endophthalmitis |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000600011 |
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