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Pol. Merkur. Lek (Pol. Med. J.), 2018, XLV/269: 198-200 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2018, XLV/269: 198-200

Title: Infective endocarditis in a patient with vision disorders 

Authors: Ścisłowicz A, Piejko P, Nowak M, Renke P, Chaniecki P, Rucka A. 

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Infective endocarditis in a patient with vision disorders


Ścisłowicz A, Piejko P, Nowak M, Renke P, Chaniecki P, Rucka A.

5th Military Clinical Hospital with Polyclinic in Cracow, Poland

Roth spots are petechiae of the retina with a white or pale center that corresponds to a bundle of cotton wool or a multinuclear leukocyte aggregate. Often considered a sign of bacterial endocarditis, they are an unspecific symptom, usually more commonly seen in patients with hematopoietic system diseases. A 56-year-old patient reported to the hospital due to sudden visual impairment. The fundoscopy revealed Roth spots in both eyes that aroused the suspicion of infective endocarditis. After confirming the condition at the Department of Cardiology and the implementation of the treatment, there was a significant improvement in visual acuity, including the resolution of retinal changes. The presented case presents an accurate, still rare ophthalmic diagnosis of infective endocarditis.

Key words: visual disturbances, Roth spots, infective endocarditis

Pol Med J, 2018; XLV (269); 198–200