Clinical and Experimental Ophthalmology

Biography

Biography: Jorge Garduño-Vieyra

Abstract

Eleven-year-old patient who lives in rural place (ranch), attended the office because of double vision, also he had ptosis in both eyes, and limitation in eye movement. The family claims that the patient is healthy, as an important interrogation, the patient a few weeks ago had fever, joint pain and lack of appetite. He was related with a general doctor who gave him some antibiotics. The family don’t remember what kind but the patient continues with more pain and could not walk for a few days. At that time, we did the Ophthalmology revision, the patient had:VA:20/25 medium midriasis in both eyes, lack of eye movements. Rest of exploration in normal range. So we decided to do some blood tests. According to the findings febrile reactions showed: Brucella 1:320. Antibrucella Huddleson spp 1:2560 Pink bengala (+++) Liver USG with splenomegalia. We interrogated the family and found that the patient drinks unpasteurized milk. We started the treatment with Garamicine 240 mg every 24 hrs for 14 days, Vibramicine 100 mg 1 capsule every 12 hrs for 2 months. Brucella is common in Mexico Latin America, Middle East and Africa, but at very different presentations like vasculitis, anterior uveitis, papilitis, and serous retinal detachments. But in this case, it is rare because it affected the nervous central system along with the optic quiasma.