Endogenous Brucella endophthalmitis: A case report
Küçük Resim Yok
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
ELSEVIER SCIENCE BV
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Brucellosis may be associated with a wide range of ophthalmic manifestations including endophthalmitis, which is a sightthreatening condition that needs to be rapidly recognized and treated to avoid permanent visual loss. A 26-year-old female with a 6-month history of vision loss in the left eye was treated with high dose systemic corticosteroids and azathioprine with an initial misdiagnosis elsewhere. A dense vitreous haze with opacities at the posterior hyaloid and a wide area of retinochoroiditis led to the diagnosis of endogenous endophthalmitis at presentation to us. The vitreous sample and blood cultures demonstrated growth of Brucella melitensis. She received 6 months of systemic antibiotherapy, which resulted in resolution of inflammation; however, visual acuity remained poor due to irreversible damage. Infectious etiology, including brucellosis in endemic countries, has to be considered in the differential diagnosis before administering immunomodulatory therapy in patients with panuveitis of unknown origin.
Açıklama
Anahtar Kelimeler
Endogenous endophthalmitis, Ocular brucellosis, Panuveitis
Kaynak
SAUDI JOURNAL OF OPHTHALMOLOGY
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
31
Sayı
2