Ophthalmoparesis, papillitis and premacular hemorrhage in a case with endocarditis: a rare presentation of Brucellosis.
We report a rare presentation of brucellosis as bilateral optic nerve and right abducent nerve involvement, and endocarditis complicated by right premacular hemorrhage in a 28-year-old white female. The patient showed improvement with both medical and surgical therapy. Brucellosis should be considered in the differential diagnosis of papillitis, gaze palsy and endocarditis complicated with premacular hemorrhage in endemic regions.
Sahin
Ozlem Gurses
OG
Department of Ophthalmology and Infectious Diseases, Middle East Technical University, Ankara-064 50, Turkey.
Pelit
Aysel
A
Turunc
Tugba
T
Akova
Yonca Aydln
YA
D000328:Adult; D002006:Brucellosis / Q000150:complications / Q000175:diagnosis*; D004696:Endocarditis / Q000150:complications*; D005260:Female; D006801:Humans; D009886:Ophthalmoplegia / Q000150:complications*; D010211:Papilledema / Q000150:complications*; D012166:Retinal Hemorrhage / Q000150:complications*