Multifocal Choroiditis, Nodular Episcleritis and Myelitis in an Immunocompetent Patient with Disseminated Tuberculosis: A Case Report

Juan Pablo Orozco-Hernandez, Sandy Camargo-Casas, Michael Ariza-Varon, Juan Camilo Arias-Botero, Patricia Quintero-Cusguen, Juan Felipe Rodriguez-Valenzuela

Research output: Contribution to journalArticlepeer-review

Abstract

We describe a 19-year-old indigenous male with no relevant medical history who presented with chronic symptoms of headache, fever, weight loss, blurred vision, and conjunctival mass who was diagnosed with disseminated tuberculosis (TB). Extensive ocular involvement, including multifocal choroiditis and nodular episcleritis, in addition to brain, spinal cord, lung, and gastrointestinal tract involvement were identified. Ocular tuberculosis (OTB) is a rare presentation of extrapulmonary manifestations, with choroiditis being the most common. Nodular episcleritis has been rarely reported in some cases in the literature. This case highlights the importance of suspecting tuberculosis in immunocompetent patients, from endemic countries, with a history of contact with a confirmed case of TB, with associated pulmonary involvement or prolonged episcleritis.

Original languageEnglish
JournalNeuro-Ophthalmology
DOIs
StateAccepted/In press - 2024
Externally publishedYes

Keywords

  • Colombia
  • episcleritis
  • multifocal choroiditis
  • myelitis
  • Ocular tuberculosis

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