Chorioretinal Granuloma in Tuberculosis  

Oleh:

Ezra, Daniel G. ; Pavesio, Carlos E.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 363 no. 23 (Dec. 2010), page 2248.
Topik: TUBERCULOSIS
Fulltext: Chorioretinal Granuloma.pdf (54.9KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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A 17-year-old boy presented to the emergency room with a 48-hour history of deterioration in the vision of his right eye. Visual acuity was measured at 6/24 in the right eye and 6/6 in the left eye. In the right eye, a small subhyaloid hemorrhage and an associated vitreous hemorrhage were noted. During the next month, the preretinal hemorrhage cleared, revealing a vascularized chorioretinal granuloma in the superotemporal quadrant. A serous retinal detachment with marked retinal exudate was evident, indicating that the lesion was active (Panel A). A physical examination showed no other abnormalities, and the patient's history was unremarkable except for previous exposure to active pulmonary tuberculosis. A diagnosis of tuberculous chorioretinitis was suspected. Although a chest radiograph was normal, antituberculosis medication was begun on the basis of the history and a strongly positive result on a tuberculin skin test with a purified protein derivative. The lesion gradually resolved over a period of 2 months after treatment with isoniazid, pyrazinamide, rifampin, and ethambutol (Panel B), but the patient's vision remained poor because of the deposition of lipid at the fovea and macular traction.

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