Abstract |
A 52-year-old woman with visual loss of her left eye consulted a ophthalmology clinic. She was conducted left vitrectomy and administered corticosteroid under the diagnosis of uveitis of unknown cause. But her visual acuity was not improved. Although re-surgery was planned, pus retention was found in her left eye. After her left eye was resected, fever and general malaise appeared suddenly. Her chest X-ray film revealed diffuse micronodular opacities. Acid-fast bacilli were detected from her sputum and identified to be Mycobacterium tuberculosis. She was diagnosed miliary tuberculosis, and then antituberculous chemotherapy consisting of 4 drugs was started. Granulomatous inflammation destructing retina and numerous acid-fact bacilli were found in histologic examination of the resected eye. This case was thought to be miliary tuberculosis disseminated from intraocular tuberculosis. After 2 months of therapy, neurologic symptoms which might be caused by brain tuberucloma appeared and deteriorated rapidly. But by adding corticosteroid to antituberculous therapy, symptoms were diminished gradually.
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Authors | S Takakura, E Tanaka, T Kimoto, I Watanabe, H Matsumoto, K Tsuyuguchi, A Niimi, K Suzuki, R Amitani, F Kuze |
Journal | Kekkaku : [Tuberculosis]
(Kekkaku)
Vol. 73
Issue 10
Pg. 591-7
(Oct 1998)
ISSN: 0022-9776 [Print] Japan |
PMID | 9844347
(Publication Type: Case Reports, English Abstract, Journal Article)
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Chemical References |
- Anti-Inflammatory Agents
- Antitubercular Agents
- Betamethasone
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Topics |
- Anti-Inflammatory Agents
(administration & dosage)
- Antitubercular Agents
(administration & dosage)
- Betamethasone
(administration & dosage)
- Drug Therapy, Combination
- Female
- Humans
- Middle Aged
- Tuberculoma, Intracranial
(drug therapy, etiology)
- Tuberculosis, Miliary
(drug therapy, etiology)
- Tuberculosis, Ocular
(complications, drug therapy)
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