Acute red eye and back pain as a presentation for systemic illness: case report.
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.
Smith
Jonathan M
JM
Ophthalmology, Sunderland Eye Infirmary, Sunderland, UK. jsmith23@doctors.org.uk
Griffiths
Philip G
PG
Fraser
Scott G
SG
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
D000900:Anti-Bacterial Agents