Roth Spots - Bacterial Endocarditis

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File number: 27602


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    Appears in
    Roth Spots in setting of bacterial endocarditis with infected mitral valve
    Condition/keywords
    sub-inner limiting membrane hemorrhage, white centered retinal hemorrhage (Roth Spot)
    Imaging device
    Fundus camera
    Optos
    Description
    Initial presentation; 29-year-old white female denied ivdu p/c with acute scotoma due to the sub-ILM foveal heme. She did have some roth spots in both eyes. There was a focal area of periphlebitis just superior to the fovea OD. Work up for roth spots and retinal vasculitis initiated. She did have a low grade fever that she attributed to a urinary tract infection being treated by her PCP.

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