Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation

Caseating granulomas are the pathological hallmark of tuberculosis and the causative organism is Mycobacterium Tuberculosis. We report a subject who presented initially with total ophthalmoplegia and choroiditis. Imaging showed vascular infarcts in brain and Pott's spine. This specific case hig...

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Main Authors: Karishma Goyal, Sandeep Parwal, Kamlesh Khilnani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.429
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author Karishma Goyal
Sandeep Parwal
Kamlesh Khilnani
author_facet Karishma Goyal
Sandeep Parwal
Kamlesh Khilnani
author_sort Karishma Goyal
collection DOAJ
description Caseating granulomas are the pathological hallmark of tuberculosis and the causative organism is Mycobacterium Tuberculosis. We report a subject who presented initially with total ophthalmoplegia and choroiditis. Imaging showed vascular infarcts in brain and Pott's spine. This specific case highlights the involvement of three different extrapulmonary systems without obvious pulmonary tuberculosis. A detailed examination should be done for each and every complaint of a patient having a suspicion of tuberculosis, to aid in early diagnosis of the disease.
format Article
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institution Kabale University
issn 0972-0200
2454-2784
language English
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-55921ef7e1fc4088bb31f9cec2161eed2025-08-20T03:52:29ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842019-01-01293838510.7869/djo.429Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial PresentationKarishma GoyalSandeep ParwalKamlesh KhilnaniCaseating granulomas are the pathological hallmark of tuberculosis and the causative organism is Mycobacterium Tuberculosis. We report a subject who presented initially with total ophthalmoplegia and choroiditis. Imaging showed vascular infarcts in brain and Pott's spine. This specific case highlights the involvement of three different extrapulmonary systems without obvious pulmonary tuberculosis. A detailed examination should be done for each and every complaint of a patient having a suspicion of tuberculosis, to aid in early diagnosis of the disease.https://journals.lww.com/10.7869/djo.429total ophthalmoplegiavascular infarctspott's spine
spellingShingle Karishma Goyal
Sandeep Parwal
Kamlesh Khilnani
Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation
Delhi Journal of Ophthalmology
total ophthalmoplegia
vascular infarcts
pott's spine
title Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation
title_full Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation
title_fullStr Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation
title_full_unstemmed Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation
title_short Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation
title_sort multisystem tuberculosis total ophthalmoplegia as an initial presentation
topic total ophthalmoplegia
vascular infarcts
pott's spine
url https://journals.lww.com/10.7869/djo.429
work_keys_str_mv AT karishmagoyal multisystemtuberculosistotalophthalmoplegiaasaninitialpresentation
AT sandeepparwal multisystemtuberculosistotalophthalmoplegiaasaninitialpresentation
AT kamleshkhilnani multisystemtuberculosistotalophthalmoplegiaasaninitialpresentation