Presumed Tubercular Multifocal Choroiditis

Purpose: To report a case of tubercular choroiditis that was initially treated for multifocal choroiditis. Case Report: A 54-year-old female patient diagnosed with multifocal choroiditis was referred to the clinic while undergoing treatment with systemic prednisone and methotrexate. The presenting...

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Bibliographic Details
Main Authors: Masoud Soheilian, Pejvak Azadi
Format: Article
Language:English
Published: Knowledge E 2024-12-01
Series:Journal of Ophthalmic & Vision Research
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Online Access:https://knepublishing.com/index.php/JOVR/article/view/11199
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Summary:Purpose: To report a case of tubercular choroiditis that was initially treated for multifocal choroiditis. Case Report: A 54-year-old female patient diagnosed with multifocal choroiditis was referred to the clinic while undergoing treatment with systemic prednisone and methotrexate. The presenting visual acuity was 20/100 in the right eye and finger counting at 1 meter in the left eye. Further investigation by repeated tuberculin skin test and QuantiFERON-TB Gold test revealed tuberculosis as the probable cause of choroiditis. The patient was started on a four-drug antituberculosis regimen. Six months later, the vision improved significantly to 20/30 in the right eye and finger counting at 6 meters in the left eye, with no remaining cellular reaction. Conclusion: Tuberculosis should be considered in the differential diagnosis of multifocal choroiditis, and it is vital to perform careful history taking and thorough examinations.
ISSN:2008-2010
2008-322X