minocycline and Scleritis

A 35-year-old man presented a case of recurrent episcleritis revealing brucellosis. No concurrent diagnosis other than brucellosis could account for the episcleritis. Moreover his status was dramatically improved by specific antibiotherapy. A review of the literature showed that uveitis and optic neuropathies are the most common ocular manifestations of brucellosis. To the best of our knowledge, this is the first case of episcleritis associated with brucellosis.

Topics: Adult; Anti-Bacterial Agents; Brucellosis; Enzyme Inhibitors; Follow-Up Studies; Humans; Male; Minocycline; Recurrence; Rifampin; Scleritis

Topics: Anti-Bacterial Agents; Arthritis, Rheumatoid; Humans; Minocycline; Scleritis

Topics: Anti-Bacterial Agents; Arthritis, Rheumatoid; Humans; Minocycline; Randomized Controlled Trials as Topic; Scleritis; Uveitis

A 35-year-old woman presented with a bilateral palpebral follicular conjunctivitis. Subsequently, she developed a bilateral keratitis and, on a separate occasion, an episcleritis that was associated with a recrudescence of Lyme disease and poor compliance with the antibiotic regimen. Both the keratitis and episcleritis cleared completely after topical corticosteroid therapy and reinstitution of appropriate antibiotic treatment. This report emphasizes the importance of collaboration between internal medicine and ophthalmologic specialists during the long-term management of Lyme disease.

Topics: Adrenal Cortex Hormones; Adult; Borrelia burgdorferi Group; Conjunctivitis; Female; Fluorescent Antibody Technique; Humans; Keratitis; Lyme Disease; Minocycline; Scleritis