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A 13-year-old girl sustained acute blindness of the left eye with bilateral papilledema.An extensive search for a cause revealed only acute Brucella infection,documented by blood cultures that were positive for Brucella and a rise and fall of Brucella agglutination titer.Computed tomographic scan of the orbit revealed thickening and irregularity of the optic nerve.The patient was treated with anti-Brucella therapy and high- dose corticosteroids,with resultant complete recovery and return of visual acuity,disappearance of papilledema,and return of the optic nerve to its normal shape and thickness. |
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