Van Rooyen, M. M. B. (1981)

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CITATION: Van Rooyen, M. M. B. 1981. Brucella-keratokonjunktivitis. South African Medical Journal, 60:206-207.


A case is described in which the rubber cap of a vial containing Brucella abortus vaccine came off accidentally and some of the contents splashed in the eyes of a veterinarian. A uni-ocular keratoconjunctivitis developed. The other eye was similarly affected 1 week later. Brucella tests were negative. Two months later the Br. abortus titre was 1/640 and the Br. melitensis titre 1/320. Systemic treatment with tetracyclines, co-trimoxazole and streptomycin and local treatment with chloramphenicol and atropine had no effect. Two attacks of acute keratoconjunctivitis subsequently occurred within hours of handling Brucella vaccine. In the right eye a corneal abscess developed, as well as uveitis and cataract. Extracapsular lens extraction was performed. Panophthalmitis followed and the eye was enucleated. The literature is reviewed and the possibility of a Brucella keratoconjunctivitis indistinguishable from viral keratoconjunctivitis is discussed.

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