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Ocular tuberculosis with multiple cerebral abscesses.
Saidin Nor-Masniwati1, Embong Zunaina, Yaakub Azhany
1Department of Ophthalmology, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia.
Case Reports in Ophthalmological Medicine
|May 22, 2012
Summary
Ocular tuberculosis can manifest as choroidal tuberculoma, potentially leading to cerebral abscesses. Prompt antituberculosis chemotherapy effectively resolves both conditions, preserving vision.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Tuberculosis (TB) can affect the central nervous system and the eye.
- Ocular involvement in TB, though rare, requires prompt diagnosis and treatment.
Observation:
- A 23-year-old man presented with headache, blurred vision, and weight loss.
- Fundus examination revealed a choroidal tuberculoma and mild vitritis in the right eye.
- Brain CT scan showed multiple cerebral abscesses.
Findings:
- The patient was diagnosed with ocular tuberculosis and multiple cerebral abscesses.
- Antituberculosis chemotherapy was administered for one year (3 months intensive, 9 months maintenance).
- Cerebral abscesses resolved within three months; choroidal tuberculoma resolved completely with scarring at one-year follow-up.
Implications:
- This case highlights the importance of considering disseminated tuberculosis in patients with unexplained neurological and ocular symptoms.
- Early diagnosis and comprehensive antituberculosis treatment are crucial for favorable outcomes in neuro-ocular tuberculosis.
- Management requires a multidisciplinary approach involving ophthalmologists, neurologists, and infectious disease specialists.
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