Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis
A 42-year-old man presented with a 2-day history of impaired vision in the right eye (OD). The best corrected visual acuity (BCVA) (LogMAR) was 1.1 for the right eye and 0.0 for the left eye (OS). Fundus examination revealed white-centered hemorrhages resembling Roth spots in both macular regions. T...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/493947 |
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| author | Karolina Ceglowska Katarzyna Nowomiejska Agnieszka Kiszka Michael J. Koss Ryszard Maciejewski Robert Rejdak |
| author_facet | Karolina Ceglowska Katarzyna Nowomiejska Agnieszka Kiszka Michael J. Koss Ryszard Maciejewski Robert Rejdak |
| author_sort | Karolina Ceglowska |
| collection | DOAJ |
| description | A 42-year-old man presented with a 2-day history of impaired vision in the right eye (OD). The best corrected visual acuity (BCVA) (LogMAR) was 1.1 for the right eye and 0.0 for the left eye (OS). Fundus examination revealed white-centered hemorrhages resembling Roth spots in both macular regions. The spectral-domain optical coherence tomography (SD-OCT) showed intraretinal pseudocysts and hyperreflective deposits in the areas corresponding to the Roth spots. Conducted blood tests revealed elevated D-dimer concentration, increased total number of neutrophils, high C-reactive protein concentration, and elevated erythrocyte sedimentation rate. Procalcitonin concentration, platelet count, and body temperature were within normal ranges. A blood culture was ordered and yielded Streptococcus mitis and intravenous antibiotics were started immediately. The patient started complaining of chest and left calf pain. The systemic examination revealed infective endocarditis accompanied by bicuspid aortic valve and paravalvular abscess formation. The patient underwent cardiac surgery with mechanical aortic valve implantation. After recovery, the patient’s visual acuities improved fully. Control ophthalmic examination, including SD-OCT, showed no abnormalities. |
| format | Article |
| id | doaj-art-195ad88cd17f4361b2048da3db41820f |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-195ad88cd17f4361b2048da3db41820f2025-02-03T01:12:48ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302015-01-01201510.1155/2015/493947493947Bilateral Macular Roth Spots as a Manifestation of Subacute EndocarditisKarolina Ceglowska0Katarzyna Nowomiejska1Agnieszka Kiszka2Michael J. Koss3Ryszard Maciejewski4Robert Rejdak5Department of General Ophthalmology, Medical University, 20-079 Lublin, PolandDepartment of General Ophthalmology, Medical University, 20-079 Lublin, PolandDepartment of General Ophthalmology, Medical University, 20-079 Lublin, PolandDepartment of Ophthalmology, University of Heidelberg, 69120 Heidelberg, GermanyHuman Anatomy Department, Medical University, 20-090 Lublin, PolandDepartment of General Ophthalmology, Medical University, 20-079 Lublin, PolandA 42-year-old man presented with a 2-day history of impaired vision in the right eye (OD). The best corrected visual acuity (BCVA) (LogMAR) was 1.1 for the right eye and 0.0 for the left eye (OS). Fundus examination revealed white-centered hemorrhages resembling Roth spots in both macular regions. The spectral-domain optical coherence tomography (SD-OCT) showed intraretinal pseudocysts and hyperreflective deposits in the areas corresponding to the Roth spots. Conducted blood tests revealed elevated D-dimer concentration, increased total number of neutrophils, high C-reactive protein concentration, and elevated erythrocyte sedimentation rate. Procalcitonin concentration, platelet count, and body temperature were within normal ranges. A blood culture was ordered and yielded Streptococcus mitis and intravenous antibiotics were started immediately. The patient started complaining of chest and left calf pain. The systemic examination revealed infective endocarditis accompanied by bicuspid aortic valve and paravalvular abscess formation. The patient underwent cardiac surgery with mechanical aortic valve implantation. After recovery, the patient’s visual acuities improved fully. Control ophthalmic examination, including SD-OCT, showed no abnormalities.http://dx.doi.org/10.1155/2015/493947 |
| spellingShingle | Karolina Ceglowska Katarzyna Nowomiejska Agnieszka Kiszka Michael J. Koss Ryszard Maciejewski Robert Rejdak Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis Case Reports in Ophthalmological Medicine |
| title | Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis |
| title_full | Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis |
| title_fullStr | Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis |
| title_full_unstemmed | Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis |
| title_short | Bilateral Macular Roth Spots as a Manifestation of Subacute Endocarditis |
| title_sort | bilateral macular roth spots as a manifestation of subacute endocarditis |
| url | http://dx.doi.org/10.1155/2015/493947 |
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