13th February 2025

A 66-year-old man presents with a red painful left eye which has been worsening significantly for the last 2 days.

A 66-year-old man presents with a red painful left eye which has been worsening significantly for the last 2 days. He has been feeling unwell and feverish. His past medical history includes hypercholesterolaemia and an aortic valve replacement 2 years ago (he is currently on warfarin). His observations are as follows: blood pressure: 91/60 mmHg, heart rate: 110 bpm, temperature 38.8, respiratory rate: 21.

On examination, you note that the left eye has a hazy appearance and it is difficult to visualise the fundus, but you are able to see several retinal haemorrhages with white-coloured centres. There is marked chemosis (conjunctival swelling) and the whole eye is diffusely very red, with presence of a significant hypopyon in the anterior chamber. 

What would you most likely expect to find on a general examination?  

Select the SINGLE most appropriate option from the list below. Select ONE option only.