Bilateral Ocular Tuberculosis in a Child with Negative Tuberculin Skin Test (TST): A Diagnostic Dilemma
| Autor: | Tina Agrawal, Sachin B Shetty, Alok Sen, Priyansha Multani |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Thorax
Male Vasculitis medicine.medical_specialty genetic structures Tuberculin Ocular tuberculosis Bacteriuria Tuberculosis Ocular Fundus (eye) Asymptomatic Uveitis 03 medical and health sciences 0302 clinical medicine medicine Immunology and Allergy Humans Child 030203 arthritis & rheumatology business.industry Tuberculin Test medicine.disease Dermatology eye diseases Ophthalmology 030221 ophthalmology & optometry medicine.symptom business |
| Zdroj: | Ocular immunology and inflammation. 30(5) |
| ISSN: | 1744-5078 |
| Popis: | Purpose: To report a case of bilateral ocular tuberculosis (OTB) in a child with negative Tuberculin skin test (TST).Methods: Case report.Observations: A 12-year-old malnourished systemically asymptomatic boy presented with sudden profound loss of vision in both eyes. Dense vitritis precluded fundus visualization in right eye (RE). In left eye, fundus findings of extensive vasculitis associated with multifocal retinochoroiditis were suggestive of OTB. However, negative TST, normal chest X-ray, and gram negative bacteriuria led to confusion between endogenous endophthalmitis and OTB. Based on strong clinical suspicion and high-resolution chest tomography (HRCT) of thorax which was suggestive of TB-pneumonitis, a diagnosis of presumed OTB was made. A good response to anti-tubercular-treatment and corticosteroids, with resolution of retinochoroiditis lesions, vasculitis, and vitritis, further supported our diagnosis.Conclusions: This case highlights the importance of keeping a high index of suspicion for TB-associated uveitis in children, based on clinical findings. |
| Databáze: | OpenAIRE |
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