Infective Endocarditis Presenting With Parinaud’s Dorsal Midbrain Syndrome

We present a case of vertical gaze palsy in a 13-year-old girl caused by underlying infective endocarditis, secondary to an infected navel piercing. This case illustrates that infective endocarditis does not always present with classic signs. J Pediatr Ophthalmol Strabismus 2006;43:41-43. AUTHORS The authors are from Ninewells Hospital, Dundee, Scotland. Originally submitted March 30, 2004. Accepted for publication November 19, 2004. Address reprint requests to Dr. Andrew Ferguson, Department of Ophthalmology, Ninewells Hospital, Dundee DD1 9SY, Scotland. Presented in part at the Annual Meeting of the Scottish Ophthalmological Club; October 3, 2003; Erskine, Scotland.