Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis

Danielle Savitsky Strauss, Samuel Baharestani, Julia Nemiroff, Kiran Amesur, David HowardNew York University Langone Medical Center, New York, NY, USAIntroduction: We report a case of a 67-year-old male who presented with a cecocentral scotoma caused by a septic embolus from subacute bacterial endoc...

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Autores principales:	Danielle Savitsky Strauss, Samuel Baharestani, Julia Nemiroff, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1f4878a054ec4de381fcd98df7a2cdbf
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spelling	oai:doaj.org-article:1f4878a054ec4de381fcd98df7a2cdbf2021-12-02T02:15:17ZCecocentral scotoma as the initial manifestation of subacute bacterial endocarditis1177-54671177-5483https://doaj.org/article/1f4878a054ec4de381fcd98df7a2cdbf2011-03-01T00:00:00Zhttp://www.dovepress.com/cecocentral-scotoma-as-the-initial-manifestation-of-subacute-bacterial-a6495https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Danielle Savitsky Strauss, Samuel Baharestani, Julia Nemiroff, Kiran Amesur, David HowardNew York University Langone Medical Center, New York, NY, USAIntroduction: We report a case of a 67-year-old male who presented with a cecocentral scotoma caused by a septic embolus from subacute bacterial endocarditis (SBE).Methods: A 67-year-old man presented with sudden, painless decreased vision in the left eye. A dilated fundoscopic exam, Humphrey visual field test, transthoracic echocardiogram, abdominal computed tomography (CT), and blood cultures were all performed.Results: A dilated fundoscopic exam revealed temporal segmental optic disc pallor on the left, and Humphrey visual field testing demonstrated a dense left cecocentral scotoma. When the patient developed fever (103.9&deg;F) and palpitations, transthoracic echocardiogram revealed valvular vegetations, and contrast CT of the abdomen revealed an abscess in the dome of the liver likely due to an infectious thrombus. Blood cultures grew viridians group streptococci in three separate peripheral collections.Conclusion: This case illustrates that a sudden cecocentral scotoma may be the initial manifestation of SBE. Keywords: endocarditis, scotoma, streptococcal infections, visual fields Danielle Savitsky StraussSamuel BaharestaniJulia Nemiroffet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 287-290 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Danielle Savitsky Strauss Samuel Baharestani Julia Nemiroff et al Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis
description	Danielle Savitsky Strauss, Samuel Baharestani, Julia Nemiroff, Kiran Amesur, David HowardNew York University Langone Medical Center, New York, NY, USAIntroduction: We report a case of a 67-year-old male who presented with a cecocentral scotoma caused by a septic embolus from subacute bacterial endocarditis (SBE).Methods: A 67-year-old man presented with sudden, painless decreased vision in the left eye. A dilated fundoscopic exam, Humphrey visual field test, transthoracic echocardiogram, abdominal computed tomography (CT), and blood cultures were all performed.Results: A dilated fundoscopic exam revealed temporal segmental optic disc pallor on the left, and Humphrey visual field testing demonstrated a dense left cecocentral scotoma. When the patient developed fever (103.9&deg;F) and palpitations, transthoracic echocardiogram revealed valvular vegetations, and contrast CT of the abdomen revealed an abscess in the dome of the liver likely due to an infectious thrombus. Blood cultures grew viridians group streptococci in three separate peripheral collections.Conclusion: This case illustrates that a sudden cecocentral scotoma may be the initial manifestation of SBE. Keywords: endocarditis, scotoma, streptococcal infections, visual fields
format	article
author	Danielle Savitsky Strauss Samuel Baharestani Julia Nemiroff et al
author_facet	Danielle Savitsky Strauss Samuel Baharestani Julia Nemiroff et al
author_sort	Danielle Savitsky Strauss
title	Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis
title_short	Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis
title_full	Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis
title_fullStr	Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis
title_full_unstemmed	Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis
title_sort	cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/1f4878a054ec4de381fcd98df7a2cdbf
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Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis

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