Sabit KİMYON, Ayşe Özlem METE, Necdet A. BEKİR, İbrahim Edhem YILMAZ, Alper METE

Unilateral Brusella Dakriyoadeniti

Bruselloz, birçok organ ve dokuyu tutabilen multisistemik bir hastalıktır. Oküler bruselloz nadir görülmekle birlikte sıklıkla üveit, koroidit, keratit ve optik nöropati şeklinde ortaya çıkmaktadır. Bu olgu sunumunda, manyetik rezonans görüntüleme ile tek taraflı lakrimal gland büyümesi gösterilen, 49 yaşında kadın hastadan bahsedilmiştir. Klinik bulgular, tüp aglütinasyon testi ve kan kültürü ile bruselloz tanısı konulmuştur. Hastaya 6 hafta süre ile oral siprofloksasin 1500mg/gün ve rifampisin 600mg/gün tedavisi verildi. Birinci ay sonunda kontrol muayenesinde hastanın şikayetlerinin sekelsiz tamamen iyileştiği izlendi. Bu olguda “dakriyoadenit ayırıcı tanısı yaparken özellikle endemik bölglerde brusellozun akılda tutulması gerektiği” vurgulanmıştır.

Unilateral Brucella Dacryoadenitis

Brucellosis is a multi-systemic disease with the involvement of several organs and tissues. Ocular brucellosis is a rare type of thedisease and manifests most commonly with uveitis, choroiditis, keratitis, and optic neuropathy. Here we report a 49-year-old female, who presented with unilateral dacryoadenitis. Ocular examination, magnetic resonance imaging of the orbits, serology, andblood culture confirmed the diagnosis of brucellosis. Rifampicin and ciprofloxacin were given to the patient for 6 weeks. At thefirst month control examination, patient’s ocular findings was completely resolved. Therefore we suggest that brucellosis shouldbe considered in the differential diagnosis of patients with dacryoadenitis, paticularly in endemic regions.

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