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...

Full description

Saved in:
Bibliographic Details
Main Authors: Masoud Soheilian, Pejvak Azadi
Format: Article
Language:English
Published: Knowledge E 2024-12-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:https://knepublishing.com/index.php/JOVR/article/view/11199
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832592748433113088
author Masoud Soheilian
Pejvak Azadi
author_facet Masoud Soheilian
Pejvak Azadi
author_sort Masoud Soheilian
collection DOAJ
description 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.
format Article
id doaj-art-c78fcb12710b4e75979d5be743698760
institution Kabale University
issn 2008-2010
2008-322X
language English
publishDate 2024-12-01
publisher Knowledge E
record_format Article
series Journal of Ophthalmic & Vision Research
spelling doaj-art-c78fcb12710b4e75979d5be7436987602025-01-21T05:15:09ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2024-12-0119410.18502/jovr.v19i4.11199Presumed Tubercular Multifocal ChoroiditisMasoud Soheilian0Pejvak Azadi1Ocular Tissue Engineering Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Ophthalmology, Emam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran 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. https://knepublishing.com/index.php/JOVR/article/view/11199Multifocal ChoroiditisOcular TuberculosisUveitis
spellingShingle Masoud Soheilian
Pejvak Azadi
Presumed Tubercular Multifocal Choroiditis
Journal of Ophthalmic & Vision Research
Multifocal Choroiditis
Ocular Tuberculosis
Uveitis
title Presumed Tubercular Multifocal Choroiditis
title_full Presumed Tubercular Multifocal Choroiditis
title_fullStr Presumed Tubercular Multifocal Choroiditis
title_full_unstemmed Presumed Tubercular Multifocal Choroiditis
title_short Presumed Tubercular Multifocal Choroiditis
title_sort presumed tubercular multifocal choroiditis
topic Multifocal Choroiditis
Ocular Tuberculosis
Uveitis
url https://knepublishing.com/index.php/JOVR/article/view/11199
work_keys_str_mv AT masoudsoheilian presumedtubercularmultifocalchoroiditis
AT pejvakazadi presumedtubercularmultifocalchoroiditis