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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Language: | English |
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Wiley
2012-01-01
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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. |
format | Article |
id | doaj-art-e089d1450dff4c39ad73b832a064f94e |
institution | Kabale University |
issn | 2090-6722 2090-6730 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Ophthalmological Medicine |
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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