title: Acute red eye and back pain as a presentation for systemic illness: case report.
abstract: BACKGROUND
  Acute red eye is a common presentation in both primary and secondary care. Presentation in combination with other systemic symptoms can indicate serious underlying pathology.
  
  
  METHODS
  73-year-old lady presenting with endogenous endophthalmitis and thoracic discitis secondary to sub-acute bacterial endocarditis.
  
  
  CONCLUSIONS
  Acute red eye in combination with systemic symptoms requires immediate investigation. If endogenous endophthalmitis is diagnosed, a source of sepsis should be comprehensively investigated and referral made to individual specialties if necessary.
authors.affiliation: Ophthalmology, Sunderland Eye Infirmary, Sunderland, UK. jsmith23@doctors.org.uk
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Smith
authors.forename: Philip G
authors.initials: PG
authors.lastname: Griffiths
authors.forename: Scott G
authors.initials: SG
authors.lastname: Fraser
mesh_terms: D000208:Acute Disease; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000000981:diagnostic imaging; D001416:Back Pain / Q000382:microbiology*; D003937:Diagnosis, Differential; D015299:Discitis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D009877:Endophthalmitis / Q000000981:diagnostic imaging / Q000382:microbiology*; D005260:Female; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D013292:Streptococcus agalactiae; D013904:Thoracic Vertebrae
chemical_list: D000900:Anti-Bacterial Agents