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Acute red eye and back pain as a presentation for systemic illness: case report
Jonathan M Smith1, Philip G Griffiths, Scott G Fraser
1Ophthalmology, Sunderland Eye Infirmary, Sunderland, UK. jsmith23@doctors.org.uk
Acute red eye with systemic symptoms signals serious illness. Prompt investigation is crucial for diagnosing conditions like endogenous endophthalmitis and identifying sepsis sources.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Cardiology
Background:
- Acute red eye is a frequent clinical presentation.
- Systemic symptoms accompanying red eye may indicate severe underlying conditions.
Observation:
- A 73-year-old female presented with endogenous endophthalmitis and thoracic discitis.
- The patient's condition was secondary to sub-acute bacterial endocarditis.
Findings:
- Endogenous endophthalmitis requires thorough sepsis source investigation.
- Co-occurrence of red eye and systemic symptoms necessitates urgent medical evaluation.
Implications:
- Early diagnosis and management of endophthalmitis are vital.
- Multidisciplinary referral is often necessary for comprehensive patient care.
- Prompt identification of sepsis sources prevents severe complications.
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