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Case of Infectious Endocarditis Predicted by Orbital Color Doppler Imaging

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Abstract

Background

There are no specific ocular findings for infectious endocarditis. We report a case of infectious endocarditis detected by combining orbital color Doppler imaging (CDI) and ophthalmological findings.

Case

A 47-year-old man suffered from lumbar pain and low-grade fever. He had undergone heart surgery for a ventricular septal defect and received blood transfusions 20 years earlier, and he had started interferon therapy for chronic hepatitis C 8 months previously. Systemic examinations suggested either collagen disease, malignant lymphoma, or infectious disease.

Observations

The patient underwent a complete ophthalmological examination, including CDI. Ophthalmoscopy showed multiple cotton-wool patches in both eyes and branch retinal artery occlusion in the left eye. Orbital CDI showed that bilateral ophthalmic arteries and central retinal arteries flowed synchronously with abnormal waves composed of three narrow, sharp peaks. These findings were suggestive of a cardiac valve disorder, which can lead to embolisms. Echocardiography established the diagnosis of infectious endocarditis.

Conclusions

To the best of our knowledge, this is the first reported case of infectious endocarditis detected by orbital CDI. Jpn J Ophthalmol 2005;49:46–48 © Japanese Ophthalmological Society 2005

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Authors and Affiliations

  1. Department of Ophthalmology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

    Sayuri Fujioka & Kaoruko Karashima

  2. Department of Internal Medicine, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

    Atsuo Inoue

  3. Department of Cardiovascular Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

    Hiroshi Takami

  4. Department of Ophthalmology, Osaka Police Hospital, Osaka, Japan

    Norikiyo Nishikawa

  5. Department of Ophthalmology, Osaka National Hospital, Osaka, Japan

    Yoshihiro Saito

Authors
  1. Sayuri Fujioka
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  2. Kaoruko Karashima
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  3. Atsuo Inoue
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  4. Hiroshi Takami
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  5. Norikiyo Nishikawa
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  6. Yoshihiro Saito
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Corresponding author

Correspondence to Sayuri Fujioka.

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Cite this article

Fujioka, S., Karashima, K., Inoue, A. et al. Case of Infectious Endocarditis Predicted by Orbital Color Doppler Imaging. Jpn J Ophthalmol 49, 46–48 (2005). https://doi.org/10.1007/s10384-004-0137-0

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  • DOI: https://doi.org/10.1007/s10384-004-0137-0

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