G E Coll1, H Lewis. 1. Department of Ophthalmology, Jules Stein Eye Institute, University of California at Los Angeles.
Abstract
BACKGROUND: A 44-year-old man who was an intravenous heroin user developed multiple septic emboli, including a choroidal abscess in the macula and foot and skin infection after Staphylococcus aureus endocarditis. METHODS: Prompt administration of systemic oxacillin and gentamicin was prescribed for the endocarditis. RESULTS: One week after septic embolization to the choroid, a subfoveal, poorly-defined choroidal neovascular membrane with retinochoroidal anastomosis was noted at the site of active choroidal infection. CONCLUSION: Systemic antibiotic therapy successfully eradicated the choroidal infection, prevented progression to endophthalmitis, and improved visual acuity.
BACKGROUND: A 44-year-old man who was an intravenous heroin user developed multiple septic emboli, including a choroidal abscess in the macula and foot and skin infection after Staphylococcus aureus endocarditis. METHODS: Prompt administration of systemic oxacillin and gentamicin was prescribed for the endocarditis. RESULTS: One week after septic embolization to the choroid, a subfoveal, poorly-defined choroidal neovascular membrane with retinochoroidal anastomosis was noted at the site of active choroidal infection. CONCLUSION: Systemic antibiotic therapy successfully eradicated the choroidal infection, prevented progression to endophthalmitis, and improved visual acuity.