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...

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Main Authors: Neethu Latiff, Meena Lakshmipathy, M K Janani, Parthopratim Dutta Majumder
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=
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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.
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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