Endophthalmitis as a first manifestation of right-sided endocarditis in a patient with patent foramen ovale

被引:0
|
作者
Rodrigues, Ana Clara [1 ]
Ogawa, Andrea [1 ]
Mota, Juliana [1 ]
Carbone, Aime [1 ]
Arruda, Ana Lucia [1 ]
Furtado, Meive [1 ]
Jr, Jairo Pinheiro [1 ]
Andrade, Jose L. [1 ]
机构
[1] Hosp Clin FMUSP, Echocardiog Lab InRad, Av Dr Eneas Carvalho Aguiar 255, BR-05403900 Sao Paulo, SP, Brazil
关键词
Endophthalmitis; Endocarditis; Patent foramen ovale; Transesophageal echocardiography;
D O I
10.1007/s12574-012-0116-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Endogenous endophthalmitis is a rare complication of endocarditis, rendering poor visual prognosis. We report a case of a 66-year-old female with renal failure who presented with fever, ocular pain, and purulent eye discharge. After a diagnosis of endogenous endophthalmitis, she was treated with antibiotics and enucleation of the eye. Due to persistent fever and positive blood cultures, a transesophageal echocardiography was undertaken, disclosing a large mural vegetation in the right atrium, catheter-associated vegetations, and a patent foramen ovale. Endocarditis is an uncommon source of endogenous endophthalmitis, and has rarely been associated to right-sided endocarditis and paradoxical septic embolization.
引用
收藏
页码:67 / 68
页数:2
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