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Endophthalmitis as a first manifestation of right-sided endocarditis in a patient with patent foramen ovale

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Abstract

Endogenous endophthalmitis is a rare complication of endocarditis, rendering poor visual prognosis. We report a case of a 66-year-old female with renal failure who presented with fever, ocular pain, and purulent eye discharge. After a diagnosis of endogenous endophthalmitis, she was treated with antibiotics and enucleation of the eye. Due to persistent fever and positive blood cultures, a transesophageal echocardiography was undertaken, disclosing a large mural vegetation in the right atrium, catheter-associated vegetations, and a patent foramen ovale. Endocarditis is an uncommon source of endogenous endophthalmitis, and has rarely been associated to right-sided endocarditis and paradoxical septic embolization.

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Authors and Affiliations

  1. Echocardiography Laboratory-InRad, Hospital das Clinicas da FMUSP, Av. Dr. Eneas de Carvalho Aguiar, 255, Cerqueira Cesar, SP, 05403900, Brazil

    Ana Clara Rodrigues, Andrea Ogawa, Juliana Mota, Aime Carbone, Ana Lúcia Arruda, Meive Furtado, Jairo Pinheiro Jr & José L. Andrade

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  1. Ana Clara Rodrigues
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  2. Andrea Ogawa
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  3. Juliana Mota
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  4. Aime Carbone
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  5. Ana Lúcia Arruda
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  6. Meive Furtado
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  7. Jairo Pinheiro Jr
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  8. José L. Andrade
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Correspondence to Ana Clara Rodrigues.

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Rodrigues, A.C., Ogawa, A., Mota, J. et al. Endophthalmitis as a first manifestation of right-sided endocarditis in a patient with patent foramen ovale. J Echocardiogr 10, 67–68 (2012). https://doi.org/10.1007/s12574-012-0116-2

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  • DOI: https://doi.org/10.1007/s12574-012-0116-2

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