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Related Experiment Videos

Retinal embolization from endocarditis

L T Reese, D Shafer

    Annals of Ophthalmology
    |December 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Progressive visual loss in a patient was linked to showers of arterial microemboli, causing unique fundus findings like a cherry red spot. Steroid treatment worsened her condition, revealing an underlying infection.

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    Area of Science:

    • Ophthalmology
    • Vascular Medicine
    • Infectious Diseases

    Background:

    • A 56-year-old woman presented with progressive visual loss, initially suspected to be temporal arteritis.
    • She experienced worsening symptoms despite corticosteroid treatment.

    Observation:

    • Funduscopic examination revealed arterial emboli, fragmented blood columns in both arteries and veins, and bilateral cherry red spots.
    • Blood cultures later yielded positive results for infection.

    Findings:

    • The patient's unusual fundus findings were attributed to showers of microemboli.
    • Corticosteroid treatment was discontinued due to positive blood cultures, indicating an infectious etiology.

    Implications:

    • This case highlights the importance of considering embolic events and underlying infections in cases of unexplained visual loss.

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  • It underscores the potential adverse effects of empirical steroid treatment in the presence of infection.