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Central Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditis

dc.contributor.authorSerras-Pereira, R
dc.contributor.authorHipólito-Fernandes, D
dc.contributor.authorAzevedo, L
dc.contributor.authorVieira, L
dc.date.accessioned2022-04-29T11:32:37Z
dc.date.available2022-04-29T11:32:37Z
dc.date.issued2020
dc.description.abstractCentral retinal artery occlusion (CRAO) is a rare but blinding disorder. We present a case of a 81-year-old woman with multiple cardiovascular comorbidities admitted to the emergency department due to sudden, painless vision loss on left eye (oculus sinister (OS)) on awakening. The patient also reported long standing fatigue associated with effort that started 4 months before admission. She presented best corrected visual acuity of counting fingers OS. Funduscopy OS revealed macular oedema with cherry red spot pattern. Blood cultures came positive for Streptococcus gallolyticus in the context of a bacteremia and native mitral valve vegetation identified on transoesophageal echocardiography. CRAO of embolic origin was admitted in the context of an infective endocarditis. CRAO can be the first manifestation of a potentially fatal systemic condition and thus multidisciplinary approach is warranted with close collaboration between ophthalmologists and internists in order to provide proper management and the best possible treatment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMJ Case Rep. 2020 Sep 2;13(9):e235763.pt_PT
dc.identifier.doi10.1136/bcr-2020-235763.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4053
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJpt_PT
dc.subjectCHLC OFTpt_PT
dc.subjectCHLC MEDpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectAcetazolamide / administration & dosagept_PT
dc.subjectAdministration, Intravenouspt_PT
dc.subjectAdministration, Ophthalmicpt_PT
dc.subjectAdministration, Oralpt_PT
dc.subjectAnti-Bacterial Agents / administration & dosagept_PT
dc.subjectAntihypertensive Agents / administration & dosagept_PT
dc.subjectCeftriaxone / administration & dosagept_PT
dc.subjectEchocardiographypt_PT
dc.subjectEndocarditis, Bacterial / complicationspt_PT
dc.subjectEndocarditis, Bacterial / diagnosis*pt_PT
dc.subjectEndocarditis, Bacterial / drug therapypt_PT
dc.subjectEndocarditis, Bacterial / microbiologypt_PT
dc.subjectHypothalamic Area, Lateralpt_PT
dc.subjectIsosorbide Dinitrate / administration & dosagept_PT
dc.subjectMitral Valve / diagnostic imagingpt_PT
dc.subjectMitral Valve / microbiologypt_PT
dc.subjectRetina / diagnostic imagingpt_PT
dc.subjectRetinal Artery Occlusion / drug therapypt_PT
dc.subjectRetinal Artery Occlusion / microbiology*pt_PT
dc.subjectStreptococcal Infections / complicationspt_PT
dc.subjectStreptococcal Infections / diagnosis*pt_PT
dc.subjectStreptococcal Infections / drug therapypt_PT
dc.subjectStreptococcal Infections / microbiologypt_PT
dc.subjectStreptococcus gallolyticus / isolation & purification*pt_PT
dc.subjectTomography, Optical Coherencept_PT
dc.subjectTreatment Outcomept_PT
dc.titleCentral Retinal Artery Occlusion from Streptococcus Gallolyticus Endocarditispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPagee235763.pt_PT
oaire.citation.titleBMJ Case Reportspt_PT
oaire.citation.volume13pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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