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Brucella Optic Neuritis

Brucella Optic Neuritis Abstract 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. (Arch Intern Med. 1991;151:776-778) References 1. Madkour M. Ocular Manifestations, Brucellosis . Stoneham, Mass: Butterworths; 1989;15:185-188. 2. Christie AB. Brucellosis, Undulant Fever . ed 3. New York, NY: Churchill Livingstone Inc; 1980:824-827. 3. Zammit-Maempel JV. Brucellosis . Med International. 1984;2:85-88. 4. Madkour MM, Mohamed AE, Talukder MAS, Kudaway AJN. Brucellosis in Saudi Arabia . Saudi Med J. 1985;6:324-332. 5. Green J. Ocular manifestations in brucellosis (undulant fever) . Arch Ophthalmol. 1939;21:51-67.Crossref 6. Orloff KC. Cited by Solanes MP. Ocular complications in brucellosis . Am J Ophthalmol. 1953;36:675-689. 7. Kuzherskaya AV. Cited by: Foggit KD. Ocular disease due to brucellosis . Br JOphthalmol. 1953;38:273. 8. Pagliarni N. Cited by: Foggit KD. Ocular disease due to brucellosis . Br J Ophthalmol. 1953;38:273. 9. Solanes MP. Ocular complications in brucellosis . Am J Ophthalmol. 1953;36:675-689. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400040116026
Publisher site
See Article on Publisher Site

Abstract

Abstract 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. (Arch Intern Med. 1991;151:776-778) References 1. Madkour M. Ocular Manifestations, Brucellosis . Stoneham, Mass: Butterworths; 1989;15:185-188. 2. Christie AB. Brucellosis, Undulant Fever . ed 3. New York, NY: Churchill Livingstone Inc; 1980:824-827. 3. Zammit-Maempel JV. Brucellosis . Med International. 1984;2:85-88. 4. Madkour MM, Mohamed AE, Talukder MAS, Kudaway AJN. Brucellosis in Saudi Arabia . Saudi Med J. 1985;6:324-332. 5. Green J. Ocular manifestations in brucellosis (undulant fever) . Arch Ophthalmol. 1939;21:51-67.Crossref 6. Orloff KC. Cited by Solanes MP. Ocular complications in brucellosis . Am J Ophthalmol. 1953;36:675-689. 7. Kuzherskaya AV. Cited by: Foggit KD. Ocular disease due to brucellosis . Br JOphthalmol. 1953;38:273. 8. Pagliarni N. Cited by: Foggit KD. Ocular disease due to brucellosis . Br J Ophthalmol. 1953;38:273. 9. Solanes MP. Ocular complications in brucellosis . Am J Ophthalmol. 1953;36:675-689.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Apr 1, 1991

References