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Choroidal biopsy of a patient with AIDS and systemic tuberculosis: a clinicopathologic case report
Hans S Grinager1, Tamera J Lillemoe, Kevin C Engel
1From the *Department of Ophthalmology, University of Minnesota Medical School, Minneapolis, Minnesota; †Department of Pathology, Abbott Northwestern Hospital, Minneapolis, Minnesota; ‡Hennepin County Medical Center, Minneapolis, Minnesota; and §Retina Center of Minnesota, Minneapolis, Minnesota.
Purpose:
To report a case of Mycobacterium tuberculosis choroidal granuloma confirmed by the presence of acid-fast bacilli seen on subretinal biopsy of the choroidal lesion.
Methods:
Observational case report. A 54-year-old woman with AIDS and systemic tuberculosis reported decreased vision in the right eye for 2 months duration.
Results:
Subretinal biopsy showed granulomatous inflammation, and acid-fast bacilli were identified on the acid-fast bacilli stain.
Conclusion:
In cases of presumed tuberculosis choroidal granuloma not initially responsive to tuberculosis therapy, biopsy of the choroidal mass can be beneficial to confirm the diagnosis and guide treatment.