METASTATIC CHOROIDAL ABSCESS AND CHOROIDAL NEOVASCULAR MEMBRANE ASSOCIATED WITH STAPHYLOCOCCUS AUREUS ENDOCARDITIS IN A HEROIN USER

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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.

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