Tuberculous neuroretinitis.

Abstract

OBJECTIVES:

To describe a patient with tuberculous neuroretinitis.

MATERIALS AND METHODS:

Retrospective case report.

RESULTS:

We describe a 43-year-old otherwise asymptomatic woman with a known exposure to tuberculosis who had unilateral optic disc edema and a partial macular star (neuroretinitis). This was followed approximately 1 year later by the development of an exudative retinal detachment in the setting of bilateral multifocal choroiditis. Laboratory testing revealed a marked positive cutaneous reaction to purified protein derivative (PPD). Treatment with antituberculosis medicine alone resulted in prompt resolution of the choroidal infiltrates and complete flattening of the exudative detachment.

CONCLUSIONS:

Tuberculosis should be considered in the differential diagnosis for patients with neuroretinitis.

• Authors: S U Stechschulte, R Y Kim, E T Cunningham Jr
• Journal: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society (J Neuroophthalmol) Vol. 19 Issue 3 Pg. 201-4 (Sep 1999) ISSN: 1070-8022 [Print] United States
• PMID: 10494950 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antitubercular Agents

Topics

• Adult
• Antitubercular Agents (therapeutic use)
• Female
• Fundus Oculi
• Humans
• Optic Neuritis (diagnosis, microbiology)
• Papilledema (microbiology)
• Retinal Detachment (etiology)
• Retinitis (diagnosis, microbiology)
• Tuberculosis, Ocular (complications, diagnosis, drug therapy)