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Case Reports
. 2010 Mar-Apr;58(2):164-6.
doi: 10.4103/0301-4738.60098.

Ophthalmoparesis, papillitis and premacular hemorrhage in a case with endocarditis: a rare presentation of Brucellosis

Ozlem Gurses Sahin  1 , Aysel Pelit, Tugba Turunc, Yonca Aydln Akova
Affiliations
Case Reports

Ophthalmoparesis, papillitis and premacular hemorrhage in a case with endocarditis: a rare presentation of Brucellosis

Ozlem Gurses Sahin et al. Indian J Ophthalmol. 2010 Mar-Apr.

Abstract

We report a rare presentation of brucellosis as bilateral optic nerve and right abducent nerve involvement, and endocarditis complicated by right premacular hemorrhage in a 28-year-old white female. The patient showed improvement with both medical and surgical therapy. Brucellosis should be considered in the differential diagnosis of papillitis, gaze palsy and endocarditis complicated with premacular hemorrhage in endemic regions.

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Figures

Figure 1
Figure 1
Color photo of the right eye at presentation. Note 1½ disc diameter of premacular hemorrhage, marked optic disc swelling and hyperemia, peripapillary vascular changes and flame-shaped hemorrhages
Figure 2
Figure 2
Color photo of the left eye at presentation. Note marked optic disc swelling and hyperemia
Figure 3
Figure 3
Color photo of the right eye one month after treatment. Note the resorption of the premacular hemorrhage and normal looking optic disc
See this image and copyright information in PMC

References

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