Vol 5 (2020): Continuous Publishing
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Published online: 2020-12-28

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Multifocal serpiginous-like choroiditis revealing mediastinal lymph node tuberculosis

Imane Chabbar1, Louai Serghini1, Zakia Hajji1, Abdelkrim Boulanouar1, Amina Berraho1
Ophthalmol J 2020;5:146-149.


Serpiginous-like choroiditis is a rare manifestation of intraocular tuberculosis. It most often occurs in the context of suspected or latent tuberculosis. The diagnostic confirmation remains a real challenge. We report a case of a young patient presented with rapid bilateral visual acuity decrease. The diagnosis of tuberculous serpiginous-like choroiditis associated with mediastinal lymph node tuberculosis was established based on anamnestic, clinical, radiographic, and histological arguments. Anti-tuberculosis drugs have been recommended in combination with corticotherapy. The evolution was marked by significant stabilization of choroidal lesions with an improvement in visual acuity. Given its great clinical polymorphism, ocular tuberculosis should be suspected in any ocular inflammation, even atypical, in order to start early and appropriate treatment and improve the visual prognosis.

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