The skin lesions shown are not described in brucellosis. Uveitis can be a manifestation of an adverse drug reaction in HIV disease. Rifabutin, especially when given in conjunction with drugs that slow its metabolism by the liver, may be associated with uveitis. Cidofovir use has also been associated with uveitis. None of the medications prescribed in this case are associated with uveitis.
Visual loss can occur if there are embolic events in the distribution of the retinal arteries.
The findings described are not consistent with this diagnosis. Syphilis causes anterior or posterior uveitis as well as skin lesions. The rash of secondary syphilis is a maculopapular eruption involving the palms and soles. The presence of uveitis suggests neurologic involvement. The patient was admitted to the hospital and received 14 days of intravenous penicillin G at a dose of 24 million units daily.