Bilateral endogenous endophthalmitis associated with infective endocarditis: case report

Autor: E. S. Arcieri, Flávio Jaime Rocha, Maria B. da Fonseca, Rafael S. Arcieri, Lizane de Abreu Ferreira, Magno Antônio Ferreira, Eduardo Ferreira Jorge
Rok vydání: 2002
Předmět:
Zdroj: Brazilian Journal of Infectious Diseases, Vol 5, Iss 6, Pp 356-359 (2001)
Brazilian Journal of Infectious Diseases, Volume: 5, Issue: 6, Pages: 356-359, Published: DEC 2001
Brazilian Journal of Infectious Diseases, Vol 5, Iss 6, Pp 356-359
Brazilian Journal of Infectious Diseases v.5 n.6 2001
Brazilian Journal of Infectious Diseases
Brazilian Society of Infectious Diseases (BSID)
instacron:BSID
ISSN: 1413-8670
Popis: 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.
Databáze: OpenAIRE