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[Tuberculous choroiditis]

E Leibowitz1, E Aviel

  • 1Ophthalmology Dept., Barzilai Medical Center, Ashkelon.

Harefuah
|December 15, 1995
PubMed
Summary
This summary is machine-generated.

Tuberculosis is a rare cause of choroiditis, often diagnosed presumptively. This case highlights a 79-year-old man with acute vision loss due to choroiditis, linked to a history of pulmonary tuberculosis.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Tuberculosis (TB) is an uncommon etiology for choroiditis, an inflammation of the choroid layer in the eye.
  • Diagnosis is frequently presumptive, relying on patient history, clinical presentation, and tuberculin skin tests.

Observation:

  • A 79-year-old male presented with sudden, severe loss of vision in his right eye.
  • Ophthalmic examination revealed evidence of choroiditis.

Findings:

  • The patient had a documented history of pulmonary tuberculosis from his youth.
  • His Mantoux skin test result was positive, supporting a TB diagnosis.

Implications:

  • This case underscores the importance of considering tuberculosis in the differential diagnosis of choroiditis, even in elderly patients.
  • A history of TB and a positive skin test can aid in presumptive diagnosis of ocular TB.