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.
Ferguson
Andrew W
AW
Department of Ophthalmology, Ninewells Hospital, Dundee, Scotland.
Jollands
Alice
A
Kirkpatrick
Martin
M
Pringle
Stuart D
SD
George
Nick D L
ND
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