Bazzazi Nooshin, Yavarikia Alireza, Keramat Fariba
Department of Ophthalmology, Hamedan University of Medical Sciences, Iran.
Middle East Afr J Ophthalmol. 2013 Jan-Mar;20(1):95-7. doi: 10.4103/0974-9233.106407.
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.
一名一周前被诊断为布鲁氏菌病的29岁男性因视力问题被转诊至眼科门诊。检查发现,其视力为20/25,裂隙灯检查显示结膜充血。眼底镜检查还发现双侧视盘肿胀、视网膜充血(视盘充血和血管迂曲)以及视网膜内出血。该患者入院后接受了复方新诺明、利福平、强力霉素和泼尼松龙治疗2个月。治疗后6个月内眼部症状逐渐消退。布鲁氏菌病可累及眼部并导致严重的眼部并发症。在流行地区应考虑早期诊断和及时治疗。