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  Vol. 124 No. 4, April 2006 TABLE OF CONTENTS
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Ocular Brucellosis vs Vogt-Koyanagi-Harada Syndrome

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We read with interest the article entitled "Bilateral Multifocal Choroiditis With Serous Retinal Detachment in a Patient With Brucella Infection: Case Report and Review of the Literature" by Rabinowitz et al1 in the January 2005 issue of the ARCHIVES. Rabinowitz and colleagues described a 39-year-old man of Arab-Bedouin origin with bilateral disc hyperemia and exudative retinal detachments. A history of ingestion of unpasteurized milk prompted Brucella serologic testing, which was positive at a titer of 1:160 but with negative cultures. They concluded that the patient had Brucella uveitis. They treated him with streptomycin sulfate and doxycycline hyclate, with worsening of ocular signs and symptoms. Oral prednisone resulted in resolution of the detachments and improvement in vision.

We wonder whether this case truly represents Brucella uveitis or is, in fact, a case of Vogt-Koyanagi-Harada syndrome in a patient who has positive Brucella serologic findings because of dietary habits.

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AUTHOR INFORMATION
Debra A. Goldstein, MD; Howard H. Tessler, MD


RELATED LETTER

Ocular Brucellosis vs Vogt-Koyanagi-Harada Syndrome—Reply
Ronen Rabinowitz, Marina Shneck, Jaime Levy, and Tova Lifshitz
Arch Ophthalmol. 2006;124(4):609.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Bilateral Multifocal Choroiditis With Serous Retinal Detachment in a Patient With Brucella Infection: Case Report and Review of the Literature
Ronen Rabinowitz, Marina Schneck, Jaime Levy, and Tova Lifshitz
Arch Ophthalmol. 2005;123(1):116-118.
EXTRACT | FULL TEXT  






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