open access
Extrapulmonary tuberculosis presenting as diplopia: a case report of an atypically located tuberculoma in an immunocompetent patient in a non-endemic region
, 1, 1, 1
Affiliations- University and Polytechnic Hospital La Fe, Valencia, Spain
open access
Abstract
BACKGROUND: Central nervous system tuberculosis occurs due to blood spread, with meningitis being more common than tuberculomas. In non-endemic areas, tuberculomas are more frequent in immunocompromised patients.
CASE PRESENTATION: Our case report presents a young girl who presented to the University and Polytechnic Hospital La Fe, Valencia, Spain. After examination, she was diagnosed with a cerebellar tuberculoma, despite having no other risk factors besides her mother having tuberculosis during her pregnancy. Medical treatment alone, without surgery, was sufficient to treat her condition.
CONCLUSION: Diagnosing tuberculomas can be challenging in non-endemic regions and patients without high-risk factors, particularly since these lesions can present as the initial manifestation of tuberculosis without fever or leukocytosis. Surgical intervention is generally not required for their diagnosis, management, or treatment.
Abstract
BACKGROUND: Central nervous system tuberculosis occurs due to blood spread, with meningitis being more common than tuberculomas. In non-endemic areas, tuberculomas are more frequent in immunocompromised patients.
CASE PRESENTATION: Our case report presents a young girl who presented to the University and Polytechnic Hospital La Fe, Valencia, Spain. After examination, she was diagnosed with a cerebellar tuberculoma, despite having no other risk factors besides her mother having tuberculosis during her pregnancy. Medical treatment alone, without surgery, was sufficient to treat her condition.
CONCLUSION: Diagnosing tuberculomas can be challenging in non-endemic regions and patients without high-risk factors, particularly since these lesions can present as the initial manifestation of tuberculosis without fever or leukocytosis. Surgical intervention is generally not required for their diagnosis, management, or treatment.
Keywords
diplopia; neurophthalmology; tuberculosis; tuberculoma
About this articleTitle
Extrapulmonary tuberculosis presenting as diplopia: a case report of an atypically located tuberculoma in an immunocompetent patient in a non-endemic region
Journal
Issue
Vol 8 (2023): Continuous Publishing
Article type
Case report
Pages
122-125
Published online
2023-11-16
Page views
304
Article views/downloads
146
DOI
Bibliographic record
Ophthalmol J 2023;8:122-125.
Keywords
diplopia
neurophthalmology
tuberculosis
tuberculoma
Authors
Paula Boned-Fustel
Laura Fernández-García
Eduardo Giner-Moreno
M Angeles Ruth Bort-Martí
References (5)- Bishburg E, Sunderam G, Reichman LB, et al. Central nervous system tuberculosis with the acquired immunodeficiency syndrome and its related complex. Ann Intern Med. 1986; 105(2): 210–213.
- Sinh G, Pandya SK, Dastur DK. Pathogenesis of unusual intracranial tuberculomas and tuberculous space-occupying lesions. J Neurosurg. 1968; 29(2): 149–159.
- Dastur HM, Desai AD. A comparative study of brain tuberculomas and gliomas based upon 107 case records of each. Brain. 1965; 88(2): 375–396.
- Gropper MR, Schulder M, Sharan AD, et al. Central nervous system tuberculosis: medical management and surgical indications. Surg Neurol. 1995; 44(4): 378–84; discussion 384.
- Awada A, Daif AK, Pirani M, et al. Evolution of brain tuberculomas under standard antituberculous treatment. J Neurol Sci. 1998; 156(1): 47–52.