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Multifocal serpiginous-like choroiditis revealing mediastinal lymph node tuberculosis
, 1, 1, 1, 1
Affiliations- Ophthalmology B Department, Ibn Sina University Hospital, Rabat, Morocco
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Abstract
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.
Abstract
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.
Keywords
tuberculosis; multifocal serpiginous-like choroiditis; uveitis; anti-tuberculosis drugs; prognosis
About this articleTitle
Multifocal serpiginous-like choroiditis revealing mediastinal lymph node tuberculosis
Journal
Issue
Vol 5 (2020): Continuous Publishing
Article type
Case report
Pages
146-149
Published online
2020-12-28
Page views
425
Article views/downloads
343
DOI
Bibliographic record
Ophthalmol J 2020;5:146-149.
Keywords
tuberculosis
multifocal serpiginous-like choroiditis
uveitis
anti-tuberculosis drugs
prognosis
Authors
Imane Chabbar
Louai Serghini
Zakia Hajji
Abdelkrim Boulanouar
Amina Berraho
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