감염성 심내막염에 동반된 백색의 중심을 갖는 망막 출혈

• 영문명: A Case of White-centered Retinal Hemorrhage in Infective Endocarditis
• 발행기관: 대한안과학회
• 저자명: 정혜욱 문수정 권의용 이동욱 조남천,Hye Wook Jeong, M.D., Su Joung Mun, M.D., Eui Yong Kweon, M.D., Dong Wook Lee, M.D. Nam Chun Cho, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number11, 1579~1582쪽, 전체 4쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2007.11.30

영문 초록

Purpose: To report a case of white-centered retinal hemorrhage in infective endocarditis. Case summary: A 45-year-old patient complained of acute visual loss. The patient had a history of epidural anesthesia for the relief of back pain. On the day of admission the patient showed no light perception and had a white-centered retinal hemorrhage and cotton wool spot in the left eye upon fundus examination. Other ocular manifestations were not specific and there were no specific findings on a brain MRI and visual evoked potential. The patient was diagnosed with pyogenic spondylitis and was treated by abscess drainage and systemic antibiotics therapy. The patient’s near vision improved up to 0.4/0.5. He was diagnosed with infective endocarditis based on the echocardiogram with epidural and subarachnoid hemorrhage. Conclusions: Roth spot can occur in many diseases such as diabetes, leukemia, anemia, and trauma, but most commonly in sepsis due to infective endocarditis. Therefore, medical evaluation and an echocardiogram for patients with white-centered retinal hemorrhage should be considered.

키워드

Infective endocarditis, Roth spot, White-centered retinal hemorrhage