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Bilateral retinal artery occlusion as the initial presentation of infectious endocarditis: a case report
Ana Bárbara Dias Lopes Urzedo1, Bruna Predabon1, Márcio Adriano Filho1
1Department of Ophthalmology, Clinical Hospital of the Federal University of Paraná, R. da Paz, 195 (123), Curitiba, PR, 80060-160, Brazil.
Background:
Retinal artery occlusion due to infective endocarditis is rare, and only a few cases have been reported in literature. Systematic and comprehensive studies of patients with this ophthalmological disease may help uncover serious underlying medical conditions.
Case Presentation:
We present a case of an 80-year-old Brazilian woman with bilateral retinal artery occlusion as the initial presentation of Erysipelothrix rhusiopathiae endocarditis.
Conclusion:
Infective endocarditis has many different forms of presentation and a high clinical suspicion is often required to reach a diagnosis. This case report highlights the importance of remembering retinal artery occlusion as a complication of infective endocarditis even if concurrent cardiovascular risk factors are present.
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