S U Stechschulte1, R Y Kim, E T Cunningham. 1. The Francis I. Proctor Foundation and The Department of Ophthalmology, University of California San Francisco, School of Medicine, 94143-0944, USA.
Abstract
OBJECTIVES: To describe a patient with tuberculous neuroretinitis. MATERIALS AND METHODS: Retrospective case report. RESULTS: We describe a 43-year-old otherwise asymptomatic woman with a known exposure to tuberculosis who had unilateral optic disc edema and a partial macular star (neuroretinitis). This was followed approximately 1 year later by the development of an exudative retinal detachment in the setting of bilateral multifocal choroiditis. Laboratory testing revealed a marked positive cutaneous reaction to purified protein derivative (PPD). Treatment with antituberculosis medicine alone resulted in prompt resolution of the choroidal infiltrates and complete flattening of the exudative detachment. CONCLUSIONS: Tuberculosis should be considered in the differential diagnosis for patients with neuroretinitis.
OBJECTIVES: To describe a patient with tuberculous neuroretinitis. MATERIALS AND METHODS: Retrospective case report. RESULTS: We describe a 43-year-old otherwise asymptomatic woman with a known exposure to tuberculosis who had unilateral optic disc edema and a partial macular star (neuroretinitis). This was followed approximately 1 year later by the development of an exudative retinal detachment in the setting of bilateral multifocal choroiditis. Laboratory testing revealed a marked positive cutaneous reaction to purified protein derivative (PPD). Treatment with antituberculosis medicine alone resulted in prompt resolution of the choroidal infiltrates and complete flattening of the exudative detachment. CONCLUSIONS:Tuberculosis should be considered in the differential diagnosis for patients with neuroretinitis.
Authors: Ellen J Davis; Sivakumar R Rathinam; Annabelle A Okada; Sharon L Tow; Harry Petrushkin; Elizabeth M Graham; Soon-Phaik Chee; Yan Guex-Crosier; Eva Jakob; Ilknur Tugal-Tutkun; Emmett T Cunningham; Jacqueline A Leavitt; Ahmad M Mansour; Kevin L Winthrop; William L Hills; Justine R Smith Journal: J Ophthalmic Inflamm Infect Date: 2012-05-22