Case 7-2003: A 43-Year-Old Man with Fever, Rapid Loss of Vision in the Left Eye, and Cardiac Findings

Presentation of Case A 43-year-old man was admitted to the hospital because of fever and rapid deterioration of vision in the left eye. The patient had been well until six weeks earlier, when fevers, sweats, myalgias, and right-sided pleuritic chest pain developed. Three days later, a chest radiograph reportedly showed pneumonia in the right lower and middle lobes. A five-day course of azithromycin was prescribed. He felt better with treatment, but one day after the course of medication ended, he felt worse. Twenty-six days before admission, a repeated chest radiograph revealed a right-sided pleural effusion. He refused to undergo thoracentesis . . .