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Man with blurry vision following fever
  1. Ching Hsiung Chang1,
  2. Chi-Tung Peng2,
  3. Chi-Wei Chen3
  1. 1Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
  2. 2Division of Financial Management, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
  3. 3Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
  1. Correspondence to Dr Chi-Wei Chen, Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; abcandxyz2{at}gmail.com

https://doi.org/10.1136/emermed-2020-210952

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    Clinical introduction

    A 46-year-old man without underlying diseases visited our emergency department because of fever and blurry vision in the left eye for 2 days. General malaise and abdominal fullness were also reported. He denied any trauma to the left eye. Physical examination revealed no specific findings. Laboratory findings showed leucocytosis, high C reactive protein level, elevated liver enzymes (aspartate aminotransferase, 43 IU/L; alanine aminotransferase, 85 IU/L), and hyperbilirubinaemia (total bilirubin, 2.11 mg/dL, and direct bilirubin, 0.99 mg/dL). Point-of-care ultrasound of the left eye …

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    Footnotes

    • Contributors The authors contributed equally to the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, conduct, reporting or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.