Work

Presumed Tubercular Multifocal Choroiditis

Year: 2024

Type: article

Abstract: 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.

Source: Journal of Ophthalmic and Vision Research

DOI: 10.18502/jovr.v19i4.11199

Authors: Masoud Soheilian, Pejvak Azadi

Institutions: Shahid Beheshti University of Medical Sciences, Kermanshah University of Medical Sciences

Language: English

Topic: Ocular Diseases and Behçet’s Syndrome

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $200