Abd Elrazak M
Division of Rheumatology and Immunology, King Fahad Hospital, Riyadh, Saudi Arabia.
Arch Intern Med. 1991 Apr;151(4):776-8.
A 13-year-old girl sustained acute blindness of the left eye with bilateral papilledema. An extensive search for a cause revealed only acute Brucella infection, documented by blood cultures that were positive for Brucella and a rise and fall of Brucella agglutination titer. Computed tomographic scan of the orbit revealed thickening and irregularity of the optic nerve. The patient was treated with anti-Brucella therapy and high-dose corticosteroids, with resultant complete recovery and return of visual acuity, disappearance of papilledema, and return of the optic nerve to its normal shape and thickness.
一名13岁女孩出现左眼急性失明并伴有双侧视乳头水肿。广泛寻找病因后仅发现急性布鲁氏菌感染，血培养显示布鲁氏菌阳性以及布鲁氏菌凝集效价的升高和下降证实了这一点。眼眶计算机断层扫描显示视神经增厚且不规则。患者接受了抗布鲁氏菌治疗和大剂量皮质类固醇治疗，最终完全康复，视力恢复，视乳头水肿消失，视神经恢复正常形状和厚度。
