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

Background: A 44-year-old man who was an intravenous heroin user devel oped multiple septic emboli, including a choroidal abscess in the macu la and foot and skin infection after Staphylococcus aureus endocarditi s. Methods: Prompt administration of systemic oxacillin and gentamicin was prescribed for the endocarditis. Results: One week after septic e mbolization to the choroid, a subfoveal, poorly-defined choroidal neov ascular membrane with retinochoroidal anastomosis was noted at the sit e of active choroidal infection. Conclusion: Systemic antibiotic thera py successfully eradicated the choroidal infection, prevented progress ion to endophthalmitis, and improved visual acuity.