感染性心内膜炎患者罗斯斑的进行性视力丧失

M. Rabadi, P. Munden
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引用次数: 0

摘要

60岁无牙男性,既往有高脂血症、吸烟、抑郁病史,以进行性视力模糊4周就诊于眼科。根据病人的说法,他看到眼前有一张“白布”,右眼的情况不断恶化。眼科检查后,他被转到神经病学诊所,因为他抱怨很难找到语言来表达自己。他确实报告说在此期间体重减轻了10磅(4.5公斤),但没有其他症状,如发烧、疲劳、出汗、胸痛、呼吸短促或任何其他神经系统症状。没有药物滥用史,包括静脉注射吸毒史。
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Progressive Visual Loss from Roth Spots in a Patient with Infective Endocarditis
A 60-year-old edentulous man with past medical history of hyperlipidemia, current smoker, and depression presented to the eye department with a 4-week history of progressive blurred vision. As per patient he saw a “white sheet” in front of his eyes worse in the right eye constantly. After his eye evaluation he was referred to the neurology clinic as he complained of having difficulty finding words to express him-self. He did report of having lost 10 lbs (4.5 kg) in weight during this period but no other complains such as fever, fatigue, sweating, chest pain, shortness of breath or any other neurological complains. There was no history of substance abuse including history of intravenous drug use.
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