Infective endocarditis presenting with Parinaud's dorsal midbrain syndrome.
We present a case of vertical gaze palsy in a 13-year-old girl caused by underlying infective endocarditis, secondary to an infected navel piercing. This case illustrates that infective endocarditis does not always present with classic signs.
Department of Ophthalmology, Ninewells Hospital, Dundee, Scotland.
Andrew W
AW
Ferguson
Alice
A
Jollands
Martin
M
Kirkpatrick
Stuart D
SD
Pringle
Nick D L
ND
George
D000293:Adolescent; D003937:Diagnosis, Differential; D004697:Endocarditis, Bacterial / Q000150:complications*; D005133:Eye Movements / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D015835:Ocular Motility Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013577:Syndrome; D013788:Thalamus / Q000473:pathology