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Retinitis Septica Roth – a Case Report


Authors: T. Streicher 1;  J. Špirková 1;  J. Vičan 2
Authors‘ workplace: Očné oddelenie nemocnice Bojnice, primárka MUDr. Ida Simonidesová 1;  Interné oddelenie nemocnice Bojnice, primár MUDr. Ladislav Bíreš 2
Published in: Čes. a slov. Oftal., 67, 2011, No. 4, p. 140-142
Category: Case Reports

Overview

We report of a case of retinitis septica in a 37-years old man one month after his tooth’s extraction. Because of decreased right eye’s central vision and a presence of typical retinal Roth’s spots we called internists for a possibility of bacterial endocarditis. Cardiologic examination confirmed this disease together with aortal valve’s defect. The course of hearth’s disease was weary heavy, with attack of septic fever and cardial decompensation. After acute stage control, defocusation and antibiotic therapy, he underwent a surgical intervention with exchange of aortal valve.

Key words:
Roth’s spots, septic endocarditis, aortal valve’s defect, optical coherence tomography (OCT), fluorescein angiography (FAG)


Sources

1. Busse, H., Schiffer, H-P., Unterberg, W.: Ein Fall von Retinitis septica Roth. Klin. Mbl. Augenheilk., 174, 1979; 2: 260–262.

2. Duke- Elder, S.: System of ophthalmology, Vol. X. H. Kimptom, London, 1967: 206– 212.

3. Hollwich, F.: Erkrankungen der Netzhaut. Der Augenarzt, Band VIII, G.Thieme Verlag, Leipzig, 1982: 185.

4. Hricák, V., Murín, J.: Komentár k odporúčaniam spoločnosti pre prevenciu, diagnostiku a liečbu infekčnej endokarditídy. Cardiol, 13, 2004, 4: 263–266.

5. Manor, R.S., Mendel, I., Savir, H.: Prepapillary metastatic abscess in a case of subacute bacterial endocarditis. Ophthalmologica (Basel), 170, 1975, 1: 22–29.

6. Petti, C., Stratton, C.W.: In: Principles and practice of infectious diseases. 7 th Ed.Ch. Livingstone, Inc., New York 2009, 2681–2685.

7. Schneider, G.: Ein Beitrag zur Retinitis septica Roth. Klin. Mbl. Augenheilk., 184, 1984, 3: 225–226.

Labels
Ophthalmology
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