Tuberculous corneal ulcer with hypopyon: A case report
This case report represents an unusual presentation of Mycobacterium tuberculosis-associated corneal ulcer with hypopyon. A 64-year-old man presented with a hypopyon corneal ulcer in the right eye. His corneal scrapings were negative, and the ulcer was not responding to empirical antimicrobial thera...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
Series: | Indian Journal of Ophthalmology |
Subjects: | |
Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=922;epage=924;aulast= |
_version_ | 1818538508338331648 |
---|---|
author | Neethu Latiff Meena Lakshmipathy M K Janani Parthopratim Dutta Majumder |
author_facet | Neethu Latiff Meena Lakshmipathy M K Janani Parthopratim Dutta Majumder |
author_sort | Neethu Latiff |
collection | DOAJ |
description | This case report represents an unusual presentation of Mycobacterium tuberculosis-associated corneal ulcer with hypopyon. A 64-year-old man presented with a hypopyon corneal ulcer in the right eye. His corneal scrapings were negative, and the ulcer was not responding to empirical antimicrobial therapy. A real-time polymerase chain reaction from an aqueous aspirate of the right eye detected 422 copies of M. tuberculosis. Subsequent investigations revealed positive Mantoux and interferon-gamma release assay, supportive radiology. The patient was successfully treated with a course of antitubercular therapy and topical steroids. Hypopyon corneal ulcer, though a rare manifestation of ocular tuberculosis, should be considered in cases not responding to standard antimicrobial therapy. |
first_indexed | 2024-12-11T21:29:51Z |
format | Article |
id | doaj.art-d3ea79f0a3e343bab35c1c58dc8b3701 |
institution | Directory Open Access Journal |
issn | 0301-4738 1998-3689 |
language | English |
last_indexed | 2024-12-11T21:29:51Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
spelling | doaj.art-d3ea79f0a3e343bab35c1c58dc8b37012022-12-22T00:50:13ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892020-01-0168592292410.4103/ijo.IJO_1368_19Tuberculous corneal ulcer with hypopyon: A case reportNeethu LatiffMeena LakshmipathyM K JananiParthopratim Dutta MajumderThis case report represents an unusual presentation of Mycobacterium tuberculosis-associated corneal ulcer with hypopyon. A 64-year-old man presented with a hypopyon corneal ulcer in the right eye. His corneal scrapings were negative, and the ulcer was not responding to empirical antimicrobial therapy. A real-time polymerase chain reaction from an aqueous aspirate of the right eye detected 422 copies of M. tuberculosis. Subsequent investigations revealed positive Mantoux and interferon-gamma release assay, supportive radiology. The patient was successfully treated with a course of antitubercular therapy and topical steroids. Hypopyon corneal ulcer, though a rare manifestation of ocular tuberculosis, should be considered in cases not responding to standard antimicrobial therapy.http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=922;epage=924;aulast=antituberculosis therapycorneal ulcerhypopyonocular tuberculosistuberculosisuveitis |
spellingShingle | Neethu Latiff Meena Lakshmipathy M K Janani Parthopratim Dutta Majumder Tuberculous corneal ulcer with hypopyon: A case report Indian Journal of Ophthalmology antituberculosis therapy corneal ulcer hypopyon ocular tuberculosis tuberculosis uveitis |
title | Tuberculous corneal ulcer with hypopyon: A case report |
title_full | Tuberculous corneal ulcer with hypopyon: A case report |
title_fullStr | Tuberculous corneal ulcer with hypopyon: A case report |
title_full_unstemmed | Tuberculous corneal ulcer with hypopyon: A case report |
title_short | Tuberculous corneal ulcer with hypopyon: A case report |
title_sort | tuberculous corneal ulcer with hypopyon a case report |
topic | antituberculosis therapy corneal ulcer hypopyon ocular tuberculosis tuberculosis uveitis |
url | http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=922;epage=924;aulast= |
work_keys_str_mv | AT neethulatiff tuberculouscornealulcerwithhypopyonacasereport AT meenalakshmipathy tuberculouscornealulcerwithhypopyonacasereport AT mkjanani tuberculouscornealulcerwithhypopyonacasereport AT parthopratimduttamajumder tuberculouscornealulcerwithhypopyonacasereport |