Abstract:
:A 37-year-old immunocompetent male patient presented with the blurring of vision, both eyes for the past1 year. Fundus examination revealed bilateral multiple subretinal abscesses with areas of healed serpiginous-like choroiditis. Laboratory investigations showed positive tuberculin skin test, positive QuantiFERON TB-Gold Test, and high resolution computed tomography chest showed enlarged mediastinal lymph nodes. The aqueous sample revealed polymerase chain reaction (PCR) positive for Mycobacterium tuberculosis (MTB) (MPB64 genome). He was treated antitubercular therapy (ATT) along with oral steroids. Although he responded well initially, he had recurrent inflammation and paradoxical worsening. This was managed with a high dose of intravenous corticosteroids, immune suppressive and ATT. He also had a diagnostic vitreous biopsy which was also PCR positive for MTB (IS6110 gene). He subsequently continued ATT along with corticosteroids and immune suppressive and responded well. We present this case report for its unusual presentation.
journal_name
Indian J Ophthalmoljournal_title
Indian journal of ophthalmologyauthors
Ganesh SK,Ali BSdoi
10.4103/ijo.IJO_184_17subject
Has Abstractpub_date
2017-08-01 00:00:00pages
761-764issue
8eissn
0301-4738issn
1998-3689pii
IndianJOphthalmol_2017_65_8_761_213226journal_volume
65pub_type
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journal_title:Indian journal of ophthalmology
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doi:10.4103/0301-4738.33827
更新日期:2007-09-01 00:00:00
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journal_title:Indian journal of ophthalmology
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.4103/0301-4738.162619
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pub_type: 杂志文章,评审
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/ijo.IJO_492_17
更新日期:2017-11-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/0301-4738.118424
更新日期:2016-07-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/ijo.IJO_2858_20
更新日期:2020-12-31 00:00:00
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pub_type: 杂志文章
doi:10.4103/0301-4738.121133
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/0301-4738.158091
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pub_type: 杂志文章,评审
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章,评审
doi:10.4103/0301-4738.49390
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journal_title:Indian journal of ophthalmology
pub_type:
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journal_title:Indian journal of ophthalmology
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journal_title:Indian journal of ophthalmology
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00