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Central retinal artery occlusion and infective endocarditis: rigor does matter

J Piqueras Flores1, G Esquinas Blanco2, M Pinilla Rivas3

  • 1Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.

Archivos De La Sociedad Espanola De Oftalmologia
|April 7, 2015
PubMed

Insights

Central retinal artery occlusion (CRAO) can be a rare symptom of infective endocarditis. Prompt diagnosis of this serious condition requires high clinical suspicion, even without typical fever.

Area of Science:

  • Ophthalmology
  • Cardiology
  • Infectious Diseases

Background:

  • Infective endocarditis (IE) is a serious infection of the heart valves.
  • Central retinal artery occlusion (CRAO) is a rare but devastating ophthalmological emergency.

Observation:

  • A patient presented with acute amaurosis (vision loss) as the sole symptom.
  • The patient had a history of mitral regurgitation and positive blood cultures for Streptococcus viridans.

Findings:

  • Transesophageal ultrasound revealed native valve infective endocarditis.
  • CRAO was the presenting manifestation of IE in this afebrile patient.

Implications:

  • This case highlights the diverse presentations of infective endocarditis.
  • Ophthalmologists and cardiologists must maintain high clinical suspicion for IE in patients with CRAO, even without fever.
  • Systematic evaluation is crucial for identifying serious underlying conditions associated with CRAO.
Abstract

Keywords:
AmaurosisCentral retinal artery occlusionEndocarditis infecciosaInfective endocarditisOclusión arteria central de la retina

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