Conjunctival Hemorrhages as a Sign of Infective Endocarditis

      A 77-year-old man was brought to our hospital by ambulance. His presenting complaints were worsening fatigue that had developed a week previously, followed by fever and a 2-day history of right wrist pain. He was unable to walk owing to extreme fatigue. He had been diagnosed with pharyngeal squamous carcinoma 2 years and 2 months previously and treated with chemotherapy and bioradiotherapy, which had resulted in complete remission. One year and 4 months previously, however, the carcinoma had recurred, and 1 year previously he had undergone a pharyngolaryngectomy and esophagectomy as salvage therapy for recurrent lesions with reconstruction using a free jejunal autograft, and a permanent tracheostomy was created.
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        • Sambola A
        • Miro JM
        • Tornos MP
        • et al.
        Streptococcus agalactiae infective endocarditis: analysis of 30 cases and review of the literature, 1962-1998.
        Clin Infect Dis. 2002; 34: 1576-1584
        • Fujita H
        • Nakamura I
        • Tsukimori A
        • et al.
        Severe infective endocarditis in a healthy adult due to Streptococcus agalactiae.
        Int J Infect Dis. 2015; 38: 43-45
        • Gunduz M
        • Murakami D
        • Gunduz I
        • et al.
        Recurrent bacterial translocation from gut and sepsis in head and neck cancer patients and its prevention by probiotics.
        Med Hypotheses. 2018; 120: 124-127