Abstract
Purpose/methods:
We examined a patient with mitral valve insufficiency, a sudden decrease in vision in the right eye, and premacular hemorrhage, which was a sign of subacute bacterial endocarditis.
Results/conclusion:
The patient was hospitalized and treated with intravenous antibiotics. Blood cultures grew Streptococcus viridans. Ocular symptoms and signs improved over two months. Premacular hemorrhage may be a sign of subacute bacterial endocarditis and may obscure other classic signs. Subacute bacterial endocarditis should be included in the differential diagnosis of premacular hemorrhage.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Acute Disease
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Bacteremia / diagnosis*
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Bacteremia / drug therapy
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Diagnosis, Differential
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Drug Therapy, Combination
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Endocarditis, Bacterial / diagnosis*
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Endocarditis, Bacterial / drug therapy
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Female
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Fundus Oculi
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Gentamicins / administration & dosage
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Gentamicins / therapeutic use
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Humans
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Infusions, Intravenous
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Macula Lutea / pathology*
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Middle Aged
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Penicillins / administration & dosage
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Penicillins / therapeutic use
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Retinal Hemorrhage / diagnosis*
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Retinal Hemorrhage / drug therapy
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Retinal Hemorrhage / microbiology
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Streptococcal Infections / diagnosis*
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Streptococcal Infections / drug therapy