Peripheral ulcerative keratitis secondary to tuberculosis: A case report and literature review.

Autor: Wang S; Ophthalmology Department, Chengdu Third People's Hospital, Southwest Jiaotong University, Chengdu, Sichuan, China., Gong Y; Ophthalmology Department, Chengdu Third People's Hospital, Southwest Jiaotong University, Chengdu, Sichuan, China., Huang K; Ophthalmology Department, Chengdu Third People's Hospital, Southwest Jiaotong University, Chengdu, Sichuan, China., Huang J; Department of Microbiology, Chengdu Third People's Hospital, Southwest Jiaotong University, Chengdu, Sichuan, China.
Jazyk: angličtina
Zdroj: Medicine [Medicine (Baltimore)] 2024 Aug 30; Vol. 103 (35), pp. e39482.
DOI: 10.1097/MD.0000000000039482
Abstrakt: Rationale: Compared with intraocular tuberculosis, ocular tuberculosis with ocular surface involvement is rare. Corneal involvement in ocular tuberculosis may include interstitial keratitis or peripheral ulcerative keratitis. We report a case of peripheral ulcerative keratitis directly caused by tuberculosis.
Patient Concerns: A 20-year-old man complained of vision loss and pain in the left eye that had lasted for 1 week. A slit lamp examination of the left eye showed a corneal epithelial defect, interstitial corneal edema, and a white irregular infiltrative lesion and ulcer (with the dimension of 2 × 2.5 mm) in the inferior temporal region.
Diagnoses: The corneal ulcer was scraped, and the Mycobacterium tuberculosis deoxyribonucleic acid polymerase chain reaction was positive.
Interventions and Outcomes: After a month of oral antituberculosis treatment, the corneal ulcer resolved, and the intraocular inflammation improved.
Lessons: Peripheral ulcerative keratitis secondary to tuberculosis can be directly caused by M tuberculosis.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE