title: Central retinal artery occlusion and infective endocarditis: rigor does matter.
abstract: METHODS
  A patient with acute amaurosis due central retinal artery occlusion (CRAO), who had mitral regurgitation and Streptococcus viridans positive blood cultures. Using transesophageal ultrasound, the patient was diagnosed with native valve infective endocarditis without fever, and with loss of vision as the only symptom.
  
  
  CONCLUSIONS
  CRAO due to infective endocarditis is rare and there are few cases reported in the literature. Semiology and a systematic and comprehensive study of patients with this ophthalmological pathology helps uncover serious underlying medical conditions. Infective endocarditis has many different forms of presentation and a high clinical suspicion is often required to reach a diagnosis.
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España. Electronic address: jesus.piqueras.flores@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Piqueras Flores
authors.affiliation: Servicio de Medicina Interna, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: G
authors.initials: G
authors.lastname: Esquinas Blanco
authors.affiliation: Servicio de Oftalmología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: M
authors.initials: M
authors.lastname: Pinilla Rivas
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Montero
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: M
authors.initials: M
authors.lastname: Marina Breysse
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: M T
authors.initials: MT
authors.lastname: López Lluva
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D004617:Embolism / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D012161:Retinal Artery / Q000000981:diagnostic imaging; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D014640:Vancomycin / Q000627:therapeutic use; D034363:Viridans Streptococci / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D014640:Vancomycin
keywords: Amaurosis; Central retinal artery occlusion; Endocarditis infecciosa; Infective endocarditis; Oclusión arteria central de la retina