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Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis
Joint Authors
Rejdak, Robert
Ceglowska, Karolina
Nowomiejska, Katarzyna
Kiszka, Agnieszka
Maciejewski, Ryszard
Koss, Michael J.
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-29
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 42-year-old man presented with a 2-day history of impaired vision in the right eye (OD).
The best corrected visual acuity (BCVA) (LogMAR) was 1.1 for the right eye and 0.0 for the left eye (OS).
Fundus examination revealed white-centered hemorrhages resembling Roth spots in both macular regions.
The spectral-domain optical coherence tomography (SD-OCT) showed intraretinal pseudocysts and hyperreflective deposits in the areas corresponding to the Roth spots.
Conducted blood tests revealed elevated D-dimer concentration, increased total number of neutrophils, high C-reactive protein concentration, and elevated erythrocyte sedimentation rate.
Procalcitonin concentration, platelet count, and body temperature were within normal ranges.
A blood culture was ordered and yielded Streptococcus mitis and intravenous antibiotics were started immediately.
The patient started complaining of chest and left calf pain.
The systemic examination revealed infective endocarditis accompanied by bicuspid aortic valve and paravalvular abscess formation.
The patient underwent cardiac surgery with mechanical aortic valve implantation.
After recovery, the patient’s visual acuities improved fully.
Control ophthalmic examination, including SD-OCT, showed no abnormalities.
American Psychological Association (APA)
Ceglowska, Karolina& Nowomiejska, Katarzyna& Kiszka, Agnieszka& Koss, Michael J.& Maciejewski, Ryszard& Rejdak, Robert. 2015. Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis. Case Reports in Ophthalmological Medicine،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059381
Modern Language Association (MLA)
Ceglowska, Karolina…[et al.]. Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis. Case Reports in Ophthalmological Medicine No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1059381
American Medical Association (AMA)
Ceglowska, Karolina& Nowomiejska, Katarzyna& Kiszka, Agnieszka& Koss, Michael J.& Maciejewski, Ryszard& Rejdak, Robert. Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis. Case Reports in Ophthalmological Medicine. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059381
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059381