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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
Differential Diagnosis
Infection
Other Aspects of the Case
Diagnostic Procedure
Clinical Diagnosis
Dr. Don C. Bienfang's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Case 9-2002: Orbital Mucormycosis
Dammin T. C., Gilbert G. J., Needles C. F., Bienfang D. C., Varvares M.
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N Engl J Med 2002;
347:855-856, Sep 12, 2002.
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