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Ocular brucellosis
1Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
The British Journal of Ophthalmology
|April 1, 1990
Summary
Brucellosis, a persistent health issue in developing nations, can cause recurrent uveitis. Prompt diagnosis and antibiotic treatment led to a full recovery in a patient with Brucella melitensis infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Brucellosis remains a significant public health concern in many developing countries.
- Ocular manifestations, such as uveitis, can be challenging to diagnose and treat.
Observation:
- A 34-year-old woman experienced recurrent uveitis unresponsive to corticosteroid therapy.
- Systemic brucellosis was diagnosed, with isolation of Brucella melitensis from a paravertebral abscess.
Findings:
- The patient's uveitis resolved completely following systemic antibiotic treatment for brucellosis.
- Brucella melitensis was identified as the causative agent, highlighting its potential for systemic and ocular involvement.
Implications:
- This case underscores the importance of considering brucellosis in the differential diagnosis of recurrent uveitis, particularly in endemic regions.
- Effective antibiotic regimens can successfully manage neuro-brucellosis and associated ocular complications, leading to complete patient recovery.