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Solitary nonreactive choroidal tuberculoma in a patient with acquired immune deficiency syndrome
1Department of Ophthalmology, University of Southern California School of Medicine (D.A.D.), Los Angeles, CA, USA.
Purpose:
To report a case of a solitary, nonreactive choroidal tuberculoma in a patient with acquired immune deficiency syndrome (AIDS).
Method:
Case Report.
Results:
A 26-year-old male patient with AIDS and systemic tuberculosis was found to have a solitary 1.5-disc-diameter elevated mass just superior and temporal to the optic disc. There was no associated inflammation, exudate, hemorrhage, or serous retinal detachment. Fluorescein angiography showed late hyperfluorescence in a staining pattern. The mass quickly regressed with antituberculosis therapy.
Conclusions:
Choroidal tuberculoma can present with little associated inflammation or retinal change in a patient with AIDS. The clinical history and knowledge of opportunistic choroidal infections in patients with AIDS helps to make the diagnosis.