Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jan 9;2(1):16-20.
doi: 10.5811/cpcem.2017.8.34723. eCollection 2018 Feb.

Endophthalmitis and Mycotic Aneurysm: The Only Clues to Underlying Endocarditis

Guy Carmelli  1   2 , Taylor Surles  1   2 , Alisha Brown  3
Affiliations
Case Reports

Endophthalmitis and Mycotic Aneurysm: The Only Clues to Underlying Endocarditis

Guy Carmelli et al. Clin Pract Cases Emerg Med. .

Abstract

Infective endocarditis is a deadly disease that can present as a myriad of symptoms and thus its diagnosis can be missed. We present a case of infective endocarditis presenting as endogenous endophthalmitis and a ruptured mycotic aneurysm. This case illustrates both the complexity of infective endocarditis as a disease process and the more subtle diagnostic criteria as outlined by the Modified Duke Criteria.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Image of patient’s left eye, taken by ophthalmology, demonstrating diffuse conjunctival injection without limbic sparing (solid arrow), mucopurulent drainage (dashed arrow) and a cloudy anterior chamber (arrow head).
Image 2
Image 2
Computed tomographic angiography of the patient’s brain demonstrating left middle cerebral artery mycotic aneurysm with intracerebral hemorrhage (black arrow) and surrounding vasogenic edema (arrow head).
See this image and copyright information in PMC

References

    1. Cabell CH, Jollis JG, Peterson GE, et al. Changing patient characteristics and the effect on mortality in endocarditis. Arch Intern Med. 2002;162(1):90–4. - PubMed
    1. Hoen B, Alla F, Selton-Suty C, et al. Changing profile of infective endocarditis: results of a 1-year survey in France. JAMA. 2002;288(1):75–81. - PubMed
    1. Leroy O, Georges H, Devos P, et al. Infective endocarditis requiring ICU admission: epidemiology and prognosis. Ann Intensive Care. 2015;5(1) - PMC - PubMed
    1. Okada AA, Johnson RP, Liles WC, et al. Endogenous bacterial endophthalmitis: report of a ten-year retrospective study. Ophthalmology. 1994;101(5):832–8. - PubMed
    1. Ducruet A, Hickman Z, Zacharia B, et al. Intracranial infectious aneurysms: a comprehensive review. Neurosurg Rev. 2010;33(1):37–46. - PubMed

Publication types