双侧视网膜动脉阻塞作为感染性心内膜炎的首发表现：一例病例报告
Bilateral retinal artery occlusion as the initial presentation of infectious endocarditis: a case report.
作者信息
Urzedo Ana Bárbara Dias Lopes, Predabon Bruna, Filho Márcio Adriano, Boff Germano Ramos, Hokazono Kenzo
机构信息
Department of Ophthalmology, Clinical Hospital of the Federal University of Paraná, R. da Paz, 195 (123), Curitiba, PR, 80060-160, Brazil.
出版信息
J Med Case Rep. 2025 Mar 14;19(1):114. doi: 10.1186/s13256-025-05141-1.
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.
背景
感染性心内膜炎导致的视网膜动脉阻塞较为罕见，文献中仅报道过少数病例。对患有这种眼科疾病的患者进行系统全面的研究可能有助于发现严重的潜在疾病。
病例报告
我们报告一例80岁巴西女性病例，其双侧视网膜动脉阻塞是豕丹毒丝菌性心内膜炎的首发表现。
结论
感染性心内膜炎有多种不同的表现形式，通常需要高度的临床怀疑才能做出诊断。本病例报告强调了即使存在并发心血管危险因素，也应记住视网膜动脉阻塞作为感染性心内膜炎并发症的重要性。
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