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Tuberculosis: an under-diagnosed aetiological agent in uveitis with an effective treatment.
- Source :
-
Eye (London, England) [Eye (Lond)] 2006 Sep; Vol. 20 (9), pp. 1068-73. Date of Electronic Publication: 2005 Oct 07. - Publication Year :
- 2006
-
Abstract
- Purpose: To highlight the diversity of clinical presentations with tubercular uveitis in a nonendemic setting, and discuss the diagnostic approach and an effective treatment.<br />Method: Descriptive case series.<br />Results: A total of 12 cases of varied presentations of tubercular uveitis diagnosed over a period of 1 year of which six cases are described in detail. Presentations included choroidal tuberculomas, multifocal choroiditis, recurrent granulomatous uveitis, panuveitis with cystoid macular oedema, and serpiginous choroiditis. All cases had a chronic or recurrent course and responded very well to antitubercular treatment. Diagnosis was mainly assisted by positive tuberculin testing.<br />Conclusion: A high index of suspicion helps diagnose ocular tuberculosis in areas of low prevalence of the disease. It forms part of the differential diagnosis of any chronic or recurrent uveitis, especially in an at-risk patient. Antitubercular treatment seems highly effective.
- Subjects :
- Adolescent
Adult
Aged
Antitubercular Agents therapeutic use
Choroiditis drug therapy
Choroiditis microbiology
Chronic Disease
Female
Humans
Male
Middle Aged
Panuveitis drug therapy
Panuveitis microbiology
Recurrence
Retrospective Studies
Tuberculosis, Ocular drug therapy
Uveitis drug therapy
Tuberculosis, Ocular diagnosis
Uveitis microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 0950-222X
- Volume :
- 20
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Eye (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 16215543
- Full Text :
- https://doi.org/10.1038/sj.eye.6702093