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Purpose To report a case of group B str eptococcus(GBS)-endogenous endophthalmitis in a patient presenting with septic arthritis and a homonymous hemianopsia due to em-bolic stroke.Design Observational case report.Methods A75-year-old woman with septic arthr itis and a homonymous hemianopsia due to embolic stroke wa s examined and found to have endogenous GBS endophthalmi tis due to bacterial endocarditis.Results Magnetic resonance imaging showed many septic emboli to the brain,including the left occipital lobe.Fundus examination showed evidence for endogenous endophthalmitis.Blood and urine cu ltures were positive for GBS.A mitral valve vegetation was pr esumed to be the cause of the intracranial septic emb oli and was demon-strated on transesophageal echocardiography.Conclusions Septic arthritis and embolic stroke are suggestive of endo-carditis and sepsis.Endogenous end ophthalmitis in this case led to transesophageal echocardiography,which was diagnostic for endocarditis.
Purpose To report a case of group B str eptococcus (GBS) -endogenous endophthalmitis in a patient presenting with septic arthritis and a homonymous hemianopsia due to em-bolic stroke. Design Observational case report. Methods A75-year-old woman with septic arthritis and a homonymous hemianopsia due to embolic stroke wa s examined and found to have endogenous GBS endophthalmi tis due to bacterial endocarditis. Results Magnetic resonance imaging showed many septic emboli to the brain, including the left occipital lobe. Fundus examination showed evidence for endogenous endophthalmitis. Blood and urine cu ltures were positive for GBS. A mitral valve vegetation was pr esumed to be the cause of the intracranial septic emb oli and was demon-strated on transesophageal echocardiography. Conclusions Septic arthritis and embolic stroke are suggestive of endo-carditis and sepsis . Endogenous end ophthalmitis in this case led to transesophageal echocardiography, which was diagnostic for endocarditis.