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Journal of Medical Case Reports
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Open Access 14-03-2025 | Endocarditis | Case report

Bilateral retinal artery occlusion as the initial presentation of infectious endocarditis: a case report

Authors: Ana Bárbara Dias Lopes Urzedo, Bruna Predabon, Márcio Adriano Filho, Germano Ramos Boff, Kenzo Hokazono

Published in: Journal of Medical Case Reports | Issue 1/2025

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Abstract

Background

Retinal artery occlusion due to infective endocarditis is rare, and only a few cases have been reported in literature. Systematic and comprehensive studies of patients with this ophthalmological disease may help uncover serious underlying medical conditions.

Case presentation

We present a case of an 80-year-old Brazilian woman with bilateral retinal artery occlusion as the initial presentation of Erysipelothrix rhusiopathiae endocarditis.

Conclusion

Infective endocarditis has many different forms of presentation and a high clinical suspicion is often required to reach a diagnosis. This case report highlights the importance of remembering retinal artery occlusion as a complication of infective endocarditis even if concurrent cardiovascular risk factors are present.
Literature
1.
Dattilo M, Biousse V, Newman NJ. Update on the management of central retinal artery occlusion. Neurol Clin. 2017;35:83–100.CrossRefPubMed
2.
3.
Tleyjeh IM, Abdel-Latif A, Rahbi H, Scott CG, Bailey KR, Steckelberg JM, Wilson WR, Baddour LM. A systematic review of population-based studies of infective endocarditis. Chest. 2007;132:1025–35.CrossRefPubMed
4.
Ziakas NG, Kotsidis S, Ziakas A. Central retinal artery occlusion due to infective endocarditis. Int Ophthalmol. 2014;34:315–9.CrossRefPubMed
5.
Vilacosta I, Graupner C, San Roman JA, Sarria C, Ronderos R, Fernandez C, et al. Risk of embolization after institution of antibiotic therapy for infective endocarditis. J Am Coll Cardiol. 2002;39:1489–95.CrossRefPubMed
6.
Bayer AS, Bolger AF, Taubert KA, Wilson W, Steckelberg J, Karchmer AW, Levison M, Chambers HF, Dajani AS, Gewitz MH, Newburger JW, Gerber MA, Shulman ST, Pallasch TJ, Gage TW, Ferrieri P. Diagnosis and management of infective endocarditis and its complications. Circulation. 1998;98:2936–48.CrossRefPubMed
7.
Piqueras Flores J, Esquinas Blanco G, Pinilla Rivas M, Montero MA, Marina Breysse M, López Lluva MT. Oclusión de la arteria central de la retina y endocarditis infecciosa: el rigor sí importa. Arch Soc Esp Oftalmol. 2015;90(11):546–8.CrossRefPubMed
8.
Volpicelli L, Oliva A, Venditti M. Did the updated Duke criteria missed Erysipelothrix rhusiopathiae from the list of typical microorganisms causing infective endocarditis? Infez Med. 2023;31(4):425–8.PubMedPubMedCentral
9.
Rostamian M, Rahmati D, Akya A. Clinical manifestations, associated diseases, diagnosis, and treatment of human infections caused by Erysipelothrix rhusiopathiae: a systematic review. Germs. 2022;12(1):16–31.CrossRefPubMedPubMedCentral
Metadata
Title
Bilateral retinal artery occlusion as the initial presentation of infectious endocarditis: a case report
Authors
Ana Bárbara Dias Lopes Urzedo
Bruna Predabon
Márcio Adriano Filho
Germano Ramos Boff
Kenzo Hokazono
Publication date
14-03-2025
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2025
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-025-05141-1

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