Ocular Tuberculosis with Multiple Cerebral Abscesses

A 23-year-old Malay man presented with headache for one-month duration. It was associated with painless blurring of vision of the right eye. He had loss of appetite and reduced weight but no night sweats or hemoptysis. His visual acuity on the right eye was 6/45 and improved to 6/15 with pinhole. Ri...

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Main Authors: Saidin Nor-Masniwati, Embong Zunaina, Yaakub Azhany
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2012/606741
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author Saidin Nor-Masniwati
Embong Zunaina
Yaakub Azhany
author_facet Saidin Nor-Masniwati
Embong Zunaina
Yaakub Azhany
author_sort Saidin Nor-Masniwati
collection DOAJ
description A 23-year-old Malay man presented with headache for one-month duration. It was associated with painless blurring of vision of the right eye. He had loss of appetite and reduced weight but no night sweats or hemoptysis. His visual acuity on the right eye was 6/45 and improved to 6/15 with pinhole. Right fundus examination revealed a choroidal tuberculoma located at one disc diameter away from optic disc superiorly with mild vitritis. Systemic examinations revealed no significant finding. Mantoux test reading was 22 mm with erythrocyte sedimentation rate that was 14 mm/h. Other blood investigations were negative with normal chest radiography. The computerized tomography scan of the brain revealed multiple cerebral abscesses. A clinical diagnosis of right ocular tuberculosis with multiple cerebral abscesses was made. He was treated with antituberculosis chemotherapy for one year which divided into intensive phase for three months and maintenance phase for nine months. Cerebral abscesses resolved after three months of antituberculosis drugs and at one-year follow-up, and the choroidal tuberculoma resolved completely with scar formation and significant macular striae.
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spelling doaj-art-e089d1450dff4c39ad73b832a064f94e2025-02-03T01:23:57ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302012-01-01201210.1155/2012/606741606741Ocular Tuberculosis with Multiple Cerebral AbscessesSaidin Nor-Masniwati0Embong Zunaina1Yaakub Azhany2Department of Ophthalmology, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, MalaysiaDepartment of Ophthalmology, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, MalaysiaDepartment of Ophthalmology, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, MalaysiaA 23-year-old Malay man presented with headache for one-month duration. It was associated with painless blurring of vision of the right eye. He had loss of appetite and reduced weight but no night sweats or hemoptysis. His visual acuity on the right eye was 6/45 and improved to 6/15 with pinhole. Right fundus examination revealed a choroidal tuberculoma located at one disc diameter away from optic disc superiorly with mild vitritis. Systemic examinations revealed no significant finding. Mantoux test reading was 22 mm with erythrocyte sedimentation rate that was 14 mm/h. Other blood investigations were negative with normal chest radiography. The computerized tomography scan of the brain revealed multiple cerebral abscesses. A clinical diagnosis of right ocular tuberculosis with multiple cerebral abscesses was made. He was treated with antituberculosis chemotherapy for one year which divided into intensive phase for three months and maintenance phase for nine months. Cerebral abscesses resolved after three months of antituberculosis drugs and at one-year follow-up, and the choroidal tuberculoma resolved completely with scar formation and significant macular striae.http://dx.doi.org/10.1155/2012/606741
spellingShingle Saidin Nor-Masniwati
Embong Zunaina
Yaakub Azhany
Ocular Tuberculosis with Multiple Cerebral Abscesses
Case Reports in Ophthalmological Medicine
title Ocular Tuberculosis with Multiple Cerebral Abscesses
title_full Ocular Tuberculosis with Multiple Cerebral Abscesses
title_fullStr Ocular Tuberculosis with Multiple Cerebral Abscesses
title_full_unstemmed Ocular Tuberculosis with Multiple Cerebral Abscesses
title_short Ocular Tuberculosis with Multiple Cerebral Abscesses
title_sort ocular tuberculosis with multiple cerebral abscesses
url http://dx.doi.org/10.1155/2012/606741
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