Choroidal Tuberculoma as a Presentation of Possible Intraocular Tuberculosis in a Health Care Worker

Nur-Najwa Suhaifi, Zunaina Embong, Qi-Zhe Ngoo, Julieana Muhammed

Abstract


Choroidal tuberculoma is a rare form of extrapulmonary tuberculosis that raises a clinical challenge especially when occurring without other manifestations of the disease. This study reports the case of a 37-year-old community nurse who had history of exposure to tuberculosis patient presented with painful blurring of vision in the right eye for one week. Her fundus examination revealed an elevated choroidal mass over the superotemporal region. The diagnosis of possible choroidal tuberculoma was established by positive tuberculin skin test. Laboratory and imaging workup ruled out pulmonary and systemic tuberculosis as well as other possible etiologies. Antituberculosis therapy was started and led to an improved visual acuity and a shrinkage of the choroidal tuberculoma at 2 months of treatment. This is one of the few reported cases of solitary choroidal tuberculoma in a patient with no other sign of systemic tuberculosis.  

Keywords


Choroidal tuberculoma, health care worker, ocular tuberculosis

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References


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