Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/4053 |
Resumo: | Central retinal artery occlusion (CRAO) is a rare but blinding disorder. We present a case of a 81-year-old woman with multiple cardiovascular comorbidities admitted to the emergency department due to sudden, painless vision loss on left eye (oculus sinister (OS)) on awakening. The patient also reported long standing fatigue associated with effort that started 4 months before admission. She presented best corrected visual acuity of counting fingers OS. Funduscopy OS revealed macular oedema with cherry red spot pattern. Blood cultures came positive for Streptococcus gallolyticus in the context of a bacteremia and native mitral valve vegetation identified on transoesophageal echocardiography. CRAO of embolic origin was admitted in the context of an infective endocarditis. CRAO can be the first manifestation of a potentially fatal systemic condition and thus multidisciplinary approach is warranted with close collaboration between ophthalmologists and internists in order to provide proper management and the best possible treatment. |
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Central Retinal Artery Occlusion from Streptococcus Gallolyticus EndocarditisCHLC OFTCHLC MEDAged, 80 and overFemaleHumansAcetazolamide / administration & dosageAdministration, IntravenousAdministration, OphthalmicAdministration, OralAnti-Bacterial Agents / administration & dosageAntihypertensive Agents / administration & dosageCeftriaxone / administration & dosageEchocardiographyEndocarditis, Bacterial / complicationsEndocarditis, Bacterial / diagnosis*Endocarditis, Bacterial / drug therapyEndocarditis, Bacterial / microbiologyHypothalamic Area, LateralIsosorbide Dinitrate / administration & dosageMitral Valve / diagnostic imagingMitral Valve / microbiologyRetina / diagnostic imagingRetinal Artery Occlusion / drug therapyRetinal Artery Occlusion / microbiology*Streptococcal Infections / complicationsStreptococcal Infections / diagnosis*Streptococcal Infections / drug therapyStreptococcal Infections / microbiologyStreptococcus gallolyticus / isolation & purification*Tomography, Optical CoherenceTreatment OutcomeCentral retinal artery occlusion (CRAO) is a rare but blinding disorder. We present a case of a 81-year-old woman with multiple cardiovascular comorbidities admitted to the emergency department due to sudden, painless vision loss on left eye (oculus sinister (OS)) on awakening. The patient also reported long standing fatigue associated with effort that started 4 months before admission. She presented best corrected visual acuity of counting fingers OS. Funduscopy OS revealed macular oedema with cherry red spot pattern. Blood cultures came positive for Streptococcus gallolyticus in the context of a bacteremia and native mitral valve vegetation identified on transoesophageal echocardiography. CRAO of embolic origin was admitted in the context of an infective endocarditis. CRAO can be the first manifestation of a potentially fatal systemic condition and thus multidisciplinary approach is warranted with close collaboration between ophthalmologists and internists in order to provide proper management and the best possible treatment.BMJRepositório do Centro Hospitalar Universitário de Lisboa Central, EPESerras-Pereira, RHipólito-Fernandes, DAzevedo, LVieira, L2022-04-29T11:32:37Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/4053engBMJ Case Rep. 2020 Sep 2;13(9):e235763.10.1136/bcr-2020-235763.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:45:05Zoai:repositorio.chlc.min-saude.pt:10400.17/4053Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:21:21.757319Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis |
title |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis |
spellingShingle |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis Serras-Pereira, R CHLC OFT CHLC MED Aged, 80 and over Female Humans Acetazolamide / administration & dosage Administration, Intravenous Administration, Ophthalmic Administration, Oral Anti-Bacterial Agents / administration & dosage Antihypertensive Agents / administration & dosage Ceftriaxone / administration & dosage Echocardiography Endocarditis, Bacterial / complications Endocarditis, Bacterial / diagnosis* Endocarditis, Bacterial / drug therapy Endocarditis, Bacterial / microbiology Hypothalamic Area, Lateral Isosorbide Dinitrate / administration & dosage Mitral Valve / diagnostic imaging Mitral Valve / microbiology Retina / diagnostic imaging Retinal Artery Occlusion / drug therapy Retinal Artery Occlusion / microbiology* Streptococcal Infections / complications Streptococcal Infections / diagnosis* Streptococcal Infections / drug therapy Streptococcal Infections / microbiology Streptococcus gallolyticus / isolation & purification* Tomography, Optical Coherence Treatment Outcome |
title_short |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis |
title_full |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis |
title_fullStr |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis |
title_full_unstemmed |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis |
title_sort |
Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis |
author |
Serras-Pereira, R |
author_facet |
Serras-Pereira, R Hipólito-Fernandes, D Azevedo, L Vieira, L |
author_role |
author |
author2 |
Hipólito-Fernandes, D Azevedo, L Vieira, L |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Serras-Pereira, R Hipólito-Fernandes, D Azevedo, L Vieira, L |
dc.subject.por.fl_str_mv |
CHLC OFT CHLC MED Aged, 80 and over Female Humans Acetazolamide / administration & dosage Administration, Intravenous Administration, Ophthalmic Administration, Oral Anti-Bacterial Agents / administration & dosage Antihypertensive Agents / administration & dosage Ceftriaxone / administration & dosage Echocardiography Endocarditis, Bacterial / complications Endocarditis, Bacterial / diagnosis* Endocarditis, Bacterial / drug therapy Endocarditis, Bacterial / microbiology Hypothalamic Area, Lateral Isosorbide Dinitrate / administration & dosage Mitral Valve / diagnostic imaging Mitral Valve / microbiology Retina / diagnostic imaging Retinal Artery Occlusion / drug therapy Retinal Artery Occlusion / microbiology* Streptococcal Infections / complications Streptococcal Infections / diagnosis* Streptococcal Infections / drug therapy Streptococcal Infections / microbiology Streptococcus gallolyticus / isolation & purification* Tomography, Optical Coherence Treatment Outcome |
topic |
CHLC OFT CHLC MED Aged, 80 and over Female Humans Acetazolamide / administration & dosage Administration, Intravenous Administration, Ophthalmic Administration, Oral Anti-Bacterial Agents / administration & dosage Antihypertensive Agents / administration & dosage Ceftriaxone / administration & dosage Echocardiography Endocarditis, Bacterial / complications Endocarditis, Bacterial / diagnosis* Endocarditis, Bacterial / drug therapy Endocarditis, Bacterial / microbiology Hypothalamic Area, Lateral Isosorbide Dinitrate / administration & dosage Mitral Valve / diagnostic imaging Mitral Valve / microbiology Retina / diagnostic imaging Retinal Artery Occlusion / drug therapy Retinal Artery Occlusion / microbiology* Streptococcal Infections / complications Streptococcal Infections / diagnosis* Streptococcal Infections / drug therapy Streptococcal Infections / microbiology Streptococcus gallolyticus / isolation & purification* Tomography, Optical Coherence Treatment Outcome |
description |
Central retinal artery occlusion (CRAO) is a rare but blinding disorder. We present a case of a 81-year-old woman with multiple cardiovascular comorbidities admitted to the emergency department due to sudden, painless vision loss on left eye (oculus sinister (OS)) on awakening. The patient also reported long standing fatigue associated with effort that started 4 months before admission. She presented best corrected visual acuity of counting fingers OS. Funduscopy OS revealed macular oedema with cherry red spot pattern. Blood cultures came positive for Streptococcus gallolyticus in the context of a bacteremia and native mitral valve vegetation identified on transoesophageal echocardiography. CRAO of embolic origin was admitted in the context of an infective endocarditis. CRAO can be the first manifestation of a potentially fatal systemic condition and thus multidisciplinary approach is warranted with close collaboration between ophthalmologists and internists in order to provide proper management and the best possible treatment. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020 2020-01-01T00:00:00Z 2022-04-29T11:32:37Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/4053 |
url |
http://hdl.handle.net/10400.17/4053 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMJ Case Rep. 2020 Sep 2;13(9):e235763. 10.1136/bcr-2020-235763. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
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BMJ |
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BMJ |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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