Metastatic choroidal abscess and choroidal neovascular membrane associated with Staphylococcus aureus endocarditis in a heroin user.
BACKGROUND
A 44-year-old man who was an intravenous heroin user developed multiple septic emboli, including a choroidal abscess in the macula and foot and skin infection after Staphylococcus aureus endocarditis.


METHODS
Prompt administration of systemic oxacillin and gentamicin was prescribed for the endocarditis.


RESULTS
One week after septic embolization to the choroid, a subfoveal, poorly-defined choroidal neovascular membrane with retinochoroidal anastomosis was noted at the site of active choroidal infection.


CONCLUSIONS
Systemic antibiotic therapy successfully eradicated the choroidal infection, prevented progression to endophthalmitis, and improved visual acuity.
Coll
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GE
Department of Ophthalmology, Jules Stein Eye Institute, University of California at Los Angeles.
Lewis
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D000038:Abscess / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D002829:Choroid / Q000098:blood supply*; D015862:Choroid Diseases / Q000188:drug therapy / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000188:drug therapy; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology*; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D005839:Gentamicins / Q000627:therapeutic use; D006556:Heroin Dependence / Q000150:complications*; D006801:Humans; D008297:Male; D009389:Neovascularization, Pathologic / Q000209:etiology*; D010068:Oxacillin / Q000627:therapeutic use; D012867:Skin / Q000382:microbiology; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014792:Visual Acuity
D005839:Gentamicins; D010068:Oxacillin