Bilateral endogenous endophthalmitis secondary to endocarditis with negative transesophageal echocardiogram

American Journal of Ophthalmology
Paul ParkKimberly G Yen

Abstract

To present a case of bilateral endogenous endophthalmitis as the primary manifestation of an aortic root abscess and endocarditis, both of which were undetected by transesophageal echocardiogram. Observational case report. A 13-year-old male presented with bilateral endogenous endophthalmitis and previously undiagnosed ventricular septal defect, subaortic stenosis, and a mitral valve cleft. Cardiac evaluation, systemic evaluation, and transesophageal echocardiogram were negative for endocarditis, but endocarditis and aortic root abscess were discovered at time of cardiac surgery. The patient responded to systemic treatment for endocarditis and surgical management of his cardiac defect. A cardiac source for endogenous endophthalmitis should be considered in the presence of clinical diagnosis of bacteremia, despite a negative transesophageal echocardiogram and systemic evaluation.

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Citations

Aug 13, 2014·Survey of Ophthalmology·Timothy L JacksonIlias Georgalas
Nov 9, 2010·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Norman A SaffraEdward K Chapnick
Jun 3, 2011·Journal of Veterinary Emergency and Critical Care·Stephanie A PumphreyElizabeth A Rozanski
Aug 1, 2006·Ophthalmology·Richard G Fiscella, Jose Pulido
Mar 27, 2010·The Annals of Thoracic Surgery·Edward S HollowayRalph W White
Apr 3, 2007·Journal of Cataract and Refractive Surgery·David M Spokes, Gavin Walters
Apr 27, 2010·Anesthesiology·UNKNOWN American Society of Anesthesiologists and Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocard

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