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KMID : 0360220170580121416
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Journal of the Korean Ophthalmological Society
2017 Volume.58 No. 12 p.1416 ~ p.1419
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Multiple Subretinal and Intraretinal Hemorrhages as a First Sign of Infective Endocarditis
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Chung Gyu-Chul
Yoon Chang-Ki
Kim Hyun-Woong
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Abstract
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Purpose: To report a patient with multiple subretinal and intraretinal hemorrhages in the absence of retinal/choroidal lesions, diagnosed with infective endocarditis (IE).
Case summary: We describe the case of a 44-year-old male with an acute decrease of vision in his right eye. Ophthalmic evaluation revealed multiple subretinal and intraretinal hemorrhages, but no choroidal or other retinal lesions. A systemic examination revealed a pansystolic murmur and blood cultures with echocardiography were suggestive of IE.
Conclusions: Thorough systemic evaluations are important when patients present with subretinal and intraretinal hemorrhages in the absence of other retinal/choroidal lesions.
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KEYWORD
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Infective endocarditis, Retinal hemorrhage, Roth spot
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