Multiple Subretinal and Intraretinal Hemorrhages as a First Sign of Infective Endocarditis. |
Gyu Chul Chung, Chang Ki Yoon, Hyun Woong Kim |
1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. 2T2B Infrastructure Center for Ocular Disease, Inje University Busan Paik Hospital, Busan, Korea. 3Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. maekbak@hanmail.net |
감염성 심내막염의 첫 징후로 나타난 다발성 망막하 및 망막내 출혈 |
정규철1,2⋅윤창기1,2⋅김현웅3 |
인제대학교 의과대학 부산백병원 안과학교실1, 인제대학교 부산백병원 안과질환 T2B 기반구축센터2, 인제대학교 의과대학 해운대백병원 안과학교실3 |
Correspondence:
Hyun Woong Kim, Email: maekbak@hanmail.net |
Received: 20 July 2017 • Revised: 22 September 2017 • Accepted: 20 November 2017 |
Abstract |
PURPOSE To report a patient with multiple subretinal and intraretinal hemorrhages in the absence of retinal/choroidal lesions, diagnosed with infective endocarditis (IE). CASE SUMMARY: We describe the case of a 44-year-old male with an acute decrease of vision in his right eye. Ophthalmic evaluation revealed multiple subretinal and intraretinal hemorrhages, but no choroidal or other retinal lesions. A systemic examination revealed a pansystolic murmur and blood cultures with echocardiography were suggestive of IE. CONCLUSIONS: Thorough systemic evaluations are important when patients present with subretinal and intraretinal hemorrhages in the absence of other retinal/choroidal lesions. |
Key Words:
Infective endocarditis;Retinal hemorrhage;Roth spot |
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