Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report

To report an unusual case of a 71-year-old livestock farmer with systemic brucellosis and ocular involvement. Examination showed vitreous haze with bilateral serous choroidal detachment. He was treated with topical antibiotics and corticosteroids, Tab rifampicin 600 mg and doxycycline 100 mg for 6 w...

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Autores principales: Adusumilli, Himabindu, Krupa, Lakshmi, Shetty, Nitin S, Rao, Sanjiv
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508090/
https://www.ncbi.nlm.nih.gov/pubmed/32461483
http://dx.doi.org/10.4103/ijo.IJO_1418_19
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author Adusumilli, Himabindu
Krupa, Lakshmi
Shetty, Nitin S
Rao, Sanjiv
author_facet Adusumilli, Himabindu
Krupa, Lakshmi
Shetty, Nitin S
Rao, Sanjiv
author_sort Adusumilli, Himabindu
collection PubMed
description To report an unusual case of a 71-year-old livestock farmer with systemic brucellosis and ocular involvement. Examination showed vitreous haze with bilateral serous choroidal detachment. He was treated with topical antibiotics and corticosteroids, Tab rifampicin 600 mg and doxycycline 100 mg for 6 weeks with visual recovery and complete resolution of serous choroidal detachment in 2 weeks. This is the first case of bilateral serous choroidal detachment in a case of systemic brucellosis. Immune-mediated complex and direct microbial invasion of uveal tissue leading to serous choroidal detachment is the proposed pathogenesis that responds well to topical corticosteroids.
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spelling pubmed-75080902020-10-02 Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report Adusumilli, Himabindu Krupa, Lakshmi Shetty, Nitin S Rao, Sanjiv Indian J Ophthalmol Case Reports To report an unusual case of a 71-year-old livestock farmer with systemic brucellosis and ocular involvement. Examination showed vitreous haze with bilateral serous choroidal detachment. He was treated with topical antibiotics and corticosteroids, Tab rifampicin 600 mg and doxycycline 100 mg for 6 weeks with visual recovery and complete resolution of serous choroidal detachment in 2 weeks. This is the first case of bilateral serous choroidal detachment in a case of systemic brucellosis. Immune-mediated complex and direct microbial invasion of uveal tissue leading to serous choroidal detachment is the proposed pathogenesis that responds well to topical corticosteroids. Wolters Kluwer - Medknow 2020-06 2020-05-25 /pmc/articles/PMC7508090/ /pubmed/32461483 http://dx.doi.org/10.4103/ijo.IJO_1418_19 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Reports
Adusumilli, Himabindu
Krupa, Lakshmi
Shetty, Nitin S
Rao, Sanjiv
Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report
title Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report
title_full Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report
title_fullStr Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report
title_full_unstemmed Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report
title_short Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report
title_sort bilateral serous choroidal detachment in brucellosis and its management and outcome: literature review and case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508090/
https://www.ncbi.nlm.nih.gov/pubmed/32461483
http://dx.doi.org/10.4103/ijo.IJO_1418_19
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