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Intraocular tuberculosis masquerading as ocular tumor: A case report.
Michael Teklehaimanot Abera1, Misganaw Badege Fetene1, Nibretu Bekele Kassa1
1Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia.
Radiology Case Reports
|March 4, 2024
Summary
Intraocular tuberculosis is a rare but serious condition in children. Early diagnosis using neuroimaging is crucial for effective treatment and preventing vision loss.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Tuberculosis (TB) is a significant pediatric health issue globally.
- Intraocular tuberculosis is rare and often misdiagnosed as noninfectious conditions.
- Prompt diagnosis and treatment are vital to prevent vision loss.
Observation:
- A 2-year-old child with TB exposure presented with seizures and constitutional symptoms.
- Brain CT revealed tuberculous lesions with necrosis.
- A calcified retinal lesion with enhancement was noted on brain imaging.
Findings:
- Disseminated tuberculosis was confirmed via chest radiograph and abdominal sonography.
- Initiation of antituberculosis treatment led to improvement of the retinal lesion.
- The case highlights the diagnosis of intraocular tuberculosis.
Implications:
- Neuroimaging aids in the noninvasive diagnosis and follow-up of intraocular tuberculosis.
- Accurate diagnosis is critical to guide appropriate antituberculosis therapy.
- Timely intervention can prevent severe visual impairment in pediatric TB cases.
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