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Posters

Panuveitis secondary to actinobacillus actinomycetecomitans endocarditis

Poster Details

First Author: I.Alarcón Valero SPAIN

Co Author(s):    G.J. Londoño   D. Vilaplana i Blanch   V. Poposki   X. Acebes Roldan   J. Blanch      0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

Report a rare cause of inflammatory non infectious panuveitis

Setting:

Ophthalmology and Internal Medicine Departments, Parc de Salut Mar, Barcelona

Methods:

51 y/o female presenting with panuveitis in left eye with VA counting fingers. Two weeks before auto-limited fever and joint pain. Complete uveitis work-up was performed including aqueous humor culture and PCR and blood culture, everything with negative result. Systemic steroids initiated with a good response. Three weeks later the patient presented cutaneous lesions and stroke. . the patient presented anti-cardiolipin antibodies and a blood culture positive for actinobacillus actinomycetecomitans. Transesophageal echocardiography showed the presence of cardiac lesions compatible with endocarditis

Results:

Fibrynolitic treatment was given with complete resolution of stroke, and ceftriaxone initiated with a resolution of endocarditis. Final VA 20/40 with fundus lesions of high myopia in both eyes

Conclusions:

Group HACEK bacterium can cause silent endocarditis presenting inflammatory immune events all over the body, including uveitis

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