Ocular tuberculosis masquerading as atypical ocular toxoplasmosis
Ocular tuberculosis is a great mimicker of various uveitis entities. We present a case of a 29-year-old male who came in with blurring of vision and floaters in the left eye. On examination, the left eye had anterior chamber cells and vitritis associated with retinitis. He had no other symptoms. The...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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German Medical Science GMS Publishing House
2023-09-01
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| Series: | GMS Ophthalmology Cases |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/oc/2023-13/oc000227.shtml |
| _version_ | 1827763661650788352 |
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| author | Bromeo, Albert John Lerit, Sweet Jorlene Arcinue, Cheryl |
| author_facet | Bromeo, Albert John Lerit, Sweet Jorlene Arcinue, Cheryl |
| author_sort | Bromeo, Albert John |
| collection | DOAJ |
| description | Ocular tuberculosis is a great mimicker of various uveitis entities. We present a case of a 29-year-old male who came in with blurring of vision and floaters in the left eye. On examination, the left eye had anterior chamber cells and vitritis associated with retinitis. He had no other symptoms. The initial presentation was consistent with ocular toxoplasmosis, and he was started on oral sulfamethoxazole-trimethoprim and showed a good response to the treatment. However, work-up revealed negative toxoplasma antibody titers but a positive inefeon-gamma release assay test and Mantoux test, making the diagnosis of ocular tuberculosis more likely. The patient was shifted to antituberculous therapy, which eventually resulted in the resolution of the inflammation with a recovery of the visual acuity. The diagnosis of ocular tuberculosis requires a detailed medical history as well as microbiologic and immunologic studies. A high index of suspicion by the treating ophthalmologist is necessary to reveal the diagnosis. |
| first_indexed | 2024-03-11T10:54:04Z |
| format | Article |
| id | doaj.art-590e1e457bab428785207fd3adef90d9 |
| institution | Directory Open Access Journal |
| issn | 2193-1496 |
| language | English |
| last_indexed | 2024-03-11T10:54:04Z |
| publishDate | 2023-09-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Ophthalmology Cases |
| spelling | doaj.art-590e1e457bab428785207fd3adef90d92023-11-13T11:51:36ZengGerman Medical Science GMS Publishing HouseGMS Ophthalmology Cases2193-14962023-09-0113Doc1910.3205/oc000227Ocular tuberculosis masquerading as atypical ocular toxoplasmosisBromeo, Albert John0Lerit, Sweet Jorlene1Arcinue, Cheryl2Asian Eye Institute, Makati, PhilippinesAsian Eye Institute, Makati, PhilippinesAsian Eye Institute, Makati, PhilippinesOcular tuberculosis is a great mimicker of various uveitis entities. We present a case of a 29-year-old male who came in with blurring of vision and floaters in the left eye. On examination, the left eye had anterior chamber cells and vitritis associated with retinitis. He had no other symptoms. The initial presentation was consistent with ocular toxoplasmosis, and he was started on oral sulfamethoxazole-trimethoprim and showed a good response to the treatment. However, work-up revealed negative toxoplasma antibody titers but a positive inefeon-gamma release assay test and Mantoux test, making the diagnosis of ocular tuberculosis more likely. The patient was shifted to antituberculous therapy, which eventually resulted in the resolution of the inflammation with a recovery of the visual acuity. The diagnosis of ocular tuberculosis requires a detailed medical history as well as microbiologic and immunologic studies. A high index of suspicion by the treating ophthalmologist is necessary to reveal the diagnosis.http://www.egms.de/static/en/journals/oc/2023-13/oc000227.shtmltuberculosistoxoplasmosisuveitisretinitismasquerade syndrome |
| spellingShingle | Bromeo, Albert John Lerit, Sweet Jorlene Arcinue, Cheryl Ocular tuberculosis masquerading as atypical ocular toxoplasmosis GMS Ophthalmology Cases tuberculosis toxoplasmosis uveitis retinitis masquerade syndrome |
| title | Ocular tuberculosis masquerading as atypical ocular toxoplasmosis |
| title_full | Ocular tuberculosis masquerading as atypical ocular toxoplasmosis |
| title_fullStr | Ocular tuberculosis masquerading as atypical ocular toxoplasmosis |
| title_full_unstemmed | Ocular tuberculosis masquerading as atypical ocular toxoplasmosis |
| title_short | Ocular tuberculosis masquerading as atypical ocular toxoplasmosis |
| title_sort | ocular tuberculosis masquerading as atypical ocular toxoplasmosis |
| topic | tuberculosis toxoplasmosis uveitis retinitis masquerade syndrome |
| url | http://www.egms.de/static/en/journals/oc/2023-13/oc000227.shtml |
| work_keys_str_mv | AT bromeoalbertjohn oculartuberculosismasqueradingasatypicaloculartoxoplasmosis AT leritsweetjorlene oculartuberculosismasqueradingasatypicaloculartoxoplasmosis AT arcinuecheryl oculartuberculosismasqueradingasatypicaloculartoxoplasmosis |