Endogenous Endophthalmitis as a Complication of a Systemic Infection by Brucella Species

Endogenous endophthalmitis by Brucella species is a rare, serious ocular disease with a challenging diagnosis due to its poor clinical manifestations. In this clinical case, a 69-year-old woman with septic urinary shock and abdominal pain was hospitalized and initially treated for Klebsiella pneumoniae infection. Subsequently, she developed visual alterations characterized by a cloudy anterior chamber, ultimately leading to enucleation of her left eye. Brucella species was identified in the left eye, prompting proper antibiotic treatment. Integrating organ-specific symptoms as part of a systemic disease may aid in the identification of rare diseases, enabling timely and appropriate treatment while preventing significant complications.