40-year old Pilot with Fevers, Diplopia, Hypertropia, Skew Deviation, and Visual Field Loss due to H. parainfluenza endocarditis (P1.303)

Conclusions:Focal neurologic deficits are not a common early presentation of IE. The visual field cut in this case was typical for a retinal artery occlusion and represented an embolic event. The diplopiawas likely caused by the thalamic infarct, with involvement of the corticomesencephalic tract. In characteristic fashion for IE, time required for bacterial culture growth was lengthy. Prompt recognition of focal deficits in a patient with signs and symptoms of systemic inflammation may allow for earlier recognition of IE.Study Supported by:Disclosure: Dr. Stephens has nothing to disclose. Dr. Frattalone has nothing to disclose.
Source: Neurology - Category: Neurology Authors: Tags: Autoimmunity with Infection, Syphilis, Lyme, Tuberculosis, and other Bacteria Source Type: research