Open AccessInfective Endocarditis with Uveitis: A Rare Case Report
Author(s) -
Lee HsiangChun,
Lai YiHon,
Tsai ChihLee,
Yen JengHsien,
Lin TsungHsien,
Lai WenTer,
Sheu ShengHsiung
Publication year - 2007
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70373-0
Subject(s) - medicine , chills , blurred vision , infective endocarditis , uveitis , surgery , endocarditis , genitourinary system , transesophageal echocardiogram , ophthalmology
We report a case of a 51‐year‐old diabetic male who presented with a complaint of intermittent chills and fever that he had experienced for 10 days. No obvious respiratory tract, genitourinary tract, gastrointestinal tract, or skin lesions were observed. Blood culture data were positive for group B β‐streptococcus. Transthoracic and transesophageal echocardiography revealed vegetation in the anterior leaflet of the mitral valve. The patient was diagnosed with infective endocarditis (IE) and prescribed a parenteral antibiotic. Three days after admission, the patient complained of progressively blurred vision. Slit lamp examination found fine keratic precipitates and aqueous cells in the anterior chambers in both eyes, implying that the patient had uveitis. He was then prescribed a topical steroid for 4 months, and his vision improved gradually. This case is an important reminder that uveitis, not only endophthalmitis, can occur with IE. Treatment for one condition, if misapplied, may worsen the other.