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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:924-929 March 21, 2002 Number 12
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Case 9-2002 — An 80-Year-Old Woman with Sudden Unilateral Blindness
Don C. Bienfang, and Diane Karluk

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Presentation of Case

An 80-year-old woman was admitted to the hospital because of sudden unilateral blindness.

The patient had a long history of medical problems. These included hypertension; mitral and tricuspid regurgitation, which had been treated by valvuloplasties; atrial fibrillation, for which she was taking warfarin; right-sided congestive heart failure; peripheral vascular disease; and chronic renal insufficiency, with a base-line creatinine level as high as 2.4 mg per deciliter (212 µmol per liter). Chronic pancytopenia was ascribed to congestive splenomegaly with hypersplenism. She had undergone a left carotid endarterectomy one year before admission.

Twenty-two days before the admission under discussion, the patient underwent . . . [Full Text of this Article]

Differential Diagnosis

Infection

Other Aspects of the Case

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Clinical Diagnosis

Dr. Don C. Bienfang's Diagnoses

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References


Related Letters:

Case 9-2002: Orbital Mucormycosis
Dammin T. C., Gilbert G. J., Needles C. F., Bienfang D. C., Varvares M.
Extract | Full Text | PDF  
N Engl J Med 2002; 347:855-856, Sep 12, 2002. Correspondence

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