Delayed Diagnosis and Treatment Leads to Permanent Blindness
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Case Overview
This visual impairment case takes place in Pennsylvania and involves a male patient who suffered episodes of nausea and vomiting over the course of several months. On one occasion, the patient presented to the hospital with nausea, vomiting, abdominal pain, and a range of other gastrointestinal symptoms. He was given over the counter nausea medication by the ER physician and was sent home. Over the next few days, the patient’s symptoms became progressively worse, and the patient returned to the same hospital ER. He presented to the ER with cold and numbness in arms, as well as significant weight loss, in addition to his original symptoms. Despite the increasing severity of his symptoms he was discharged a few days later. Some time after being discharged from the hospital, the patient developed severe eye pain and blurry vision. He was seen by ophthalmology then and was diagnosed with bacterial conjunctivitis, and prescribed Moxifloxacin eye drops. A few days after this diagnosis, the patient lost all vision in both eyes. He presented to the ER and received treatment, however his condition did not improve. Eventually, he was diagnosed with a rare, but treatable, autoimmune disease.
Questions to the Internal Medicine expert and their responses
Do you routinely treat patients similar to the one described in the case? Please explain.
I have seen a few patients who have been diagnosed with this condition.
Do you believe this patient may have had a better outcome if the care rendered had been different?
Depending on the results of the labs and imaging studies, there may have been an opportunity to diagnose the autoimmune condition earlier with a better outcome.
About the expert
This expert is board certified in internal medicine. He earned his BA at Cornell University, his MD at Drexel University University, and completed residency training in Internal Medicine at Allegheny General Hospital. Highly qualified in the field of preventative medicine, he works in both a hospital and private practice setting. He has published over 100 peer-reviewed publications and has been invited to over 40 lectures on similar subjects.

E-006953
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