title: Ocular involvement of brucellosis.
abstract: A 29-year-old male diagnosed with brucellosis a week earlier was referred to the ophthalmology clinic with visual complaints. On examination, visual acuity was 20/25, he had conjunctival injection on slit lamp examination. There was also bilateral optic disk swelling plus retinal hyperemia (optic disc hyperemia and vascular tortuosity) and intraretinal hemorrhage on funduscopy. The patient was admitted and treated with cotrimoxazole, rifampin, doxycycline and prednisolone for 2 months. Ocular manifestations subsided gradually within 6 months after treatment. Brucellosis can affect the eye and lead to serious ocular complications. Early diagnosis and prompt treatment should be considered in endemic areas.
authors.affiliation: Department of Ophthalmology, Hamedan University of Medical Sciences, Iran.
authors.forename: Nooshin
authors.initials: N
authors.lastname: Bazzazi
authors.forename: Alireza
authors.initials: A
authors.lastname: Yavarikia
authors.forename: Fariba
authors.initials: F
authors.lastname: Keramat
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002006:Brucellosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010211:Papilledema / Q000188:drug therapy / Q000382:microbiology*; D011239:Prednisolone / Q000627:therapeutic use; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D012293:Rifampin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014792:Visual Acuity
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D011239:Prednisolone; D004318:Doxycycline; D012293:Rifampin
keywords: Bilateral optic disc swelling; Brucellosis; Ocular Brucellosis