Atypical Ocular and Optical Coherence Tomographic Findings With Presumed Miliary Tuberculosis
Journal of the Korean Ophthalmological Society
;
: 107-111, 2011.
Article
in Korean
| WPRIM
| ID: wpr-147629
ABSTRACT
PURPOSE:
To report clinical features and optical coherence tomographic findings of presumed atypical ocular tuberculosis associated with tuberculosis lymphadenitis and encephalomeningitis. CASESUMMARY:
A 28-year-old female with lymphadenitis in the axillary area presented with a fever and headache of a one week duration. CSF study and MRI findings implied tuberculosis encephalomeningitis, and presumed tuberculosis uveitis manifested with visual disturbance after five days. Ocular symptoms were aggravated and showed anterior iridocyclitis, vitritis, macular edema, and multifocal retinitis with miliary granuloma that was distinct from choroiditis or typical tuberculosis granuloma. After the patient received anti-tuberculosis medication and systemic corticosteroids, significant improvements in visual acuity, ocular findings and OCT results were observed.CONCLUSIONS:
Ocular tuberculosis can present with various clinical findings, and caution should be taken so as not to misdiagnose based on these characteristics. In the present case, anti-tuberculosis medication and systemic steroids resulted in the resolution of inflammation. In such cases, monitoring the posterior pole lesion via OCT may be helpful in determining improvement.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retinitis
/
Steroids
/
Tuberculosis
/
Tuberculosis, Miliary
/
Uveitis
/
Visual Acuity
/
Iridocyclitis
/
Tuberculosis, Ocular
/
Macular Edema
/
Choroiditis
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2011
Type:
Article
Similar
MEDLINE
...
LILACS
LIS