Enterococcus faecalis Endogenous Endophthalmitis from Valvular Endocarditis
Joint Authors
Varandas, Rosário
Agrelos, Luís
Rothwell, Renata
Barge, Sidnei
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report a case of a 74-year-old female, with a mitral heart valve, who presented with pain and blurred vision in the right eye for 2 days.
Her visual acuity was light perception (LP) in the right eye and 20/40 in the left eye.
Slit lamp examination showed corneal edema and hypopyon, and a view of the right fundus was impossible.
Echography showed vitreous condensation.
One day after presentation, the patient developed acute lung edema requiring hospitalization, so she was not submitted to vitreous tap and intravitreal treatment.
The cardiac and systemic evaluations revealed a mitral endocarditis secondary to Enterococcus faecalis.
The patient improved systemically with treatment with gentamicin, vancomycin, and linezolid.
Her visual acuity remained as no LP, and her intraocular pressure (IOP) has been controlled with brimonidine bid despite developing a total cataract with 360° posterior synechia.
A cardiac source for endogenous endophthalmitis should be considered in the presence of a prosthetic cardiac valve.
The treatment and followup must be made in cooperation with a cardiologist specialist, but the ophthalmologist can play a key role in the diagnosis.
American Psychological Association (APA)
Barge, Sidnei& Rothwell, Renata& Varandas, Rosário& Agrelos, Luís. 2013. Enterococcus faecalis Endogenous Endophthalmitis from Valvular Endocarditis. Case Reports in Ophthalmological Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-451890
Modern Language Association (MLA)
Barge, Sidnei…[et al.]. Enterococcus faecalis Endogenous Endophthalmitis from Valvular Endocarditis. Case Reports in Ophthalmological Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-451890
American Medical Association (AMA)
Barge, Sidnei& Rothwell, Renata& Varandas, Rosário& Agrelos, Luís. Enterococcus faecalis Endogenous Endophthalmitis from Valvular Endocarditis. Case Reports in Ophthalmological Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-451890
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451890