If you are experiencing problems downloading PDF or HTML fulltext, our helpdesk recommend clearing your browser cache and trying again. If you need help in clearing your cache, please click here . Still need help? Email help@ingentaconnect.com

Unusual presentation of brucellosis in a child: Acute blindness

$48.00 plus tax (Refund Policy)

Download / Buy Article:

Abstract:

Abstract

In brucellosis, visual impairment due to optic nerve involvement is rare, and acute onset visual loss is an unusual presenting feature. We report a 15‐y‐old girl who had pancytopenia and who was admitted to our hospital with acute onset of bilateral blindness and fever. There was no light perception, and anterior segment and fundus examination were normal in both eyes. No other abnormal neurological findings were detected. Increased latencies and decreased amplitudes were found in visual evoked potentials. Cranial MR and CT revealed no abnormality. Blood culture was found to be positive for Brucella melitensis. Anti‐Brucella treatment and high‐dose metil prednisolon were given. Pancytopenia completely resolved 5 d after anti‐Brucella treatment, and at the end of the third month her complaints about impaired vision were resolved.
Conclusion

: Brucellosis may present with uncommon symptoms in children. Physicians, particularly in areas where the disease is endemic, must consider this in differential diagnosis of a child with acute blindness and pancytopenia.

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1651-2227.2005.tb03085.x

Affiliations: 1: Department of Paediatrics, Intensive Care Unit, Izmir, Turkey 2: Division of Haematology, Izmir, Turkey 3: Division of Infection Diseases, Ege University, Faculty of Medicine, Izmir, Turkey

Publication date: March 1, 2005

Related content

Tools

Favourites

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more