Abstract
A 47-year-old female presented with optic disc oedema, peripapillary subretinal fluid and scattered areas of choroiditis. Her ultrasound B-scan showed sclerochoroidal thickening with widening of sub-Tenon space. Subsequent investigations revealed a positive Mantoux test and high-resolution computed tomography of the chest was suggestive of pulmonary involvement. She responded well to antitubercular treatment and systemic corticosteroid. A review of the literature was conducted to identify additional reports on similar cases and discussed. A high index of suspicion and appropriate laboratory work-up can aid in the diagnosis of tuberculous posterior scleritis.
Keywords:
Choroiditis; posterior scleritis; scleritis; tuberculosis.
MeSH terms
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Antitubercular Agents / therapeutic use
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Choroiditis / diagnosis
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Choroiditis / drug therapy
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Choroiditis / microbiology
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Coloring Agents / administration & dosage
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Eye Infections, Bacterial / diagnosis*
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Eye Infections, Bacterial / drug therapy
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Eye Infections, Bacterial / microbiology
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Female
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Fluorescein Angiography
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Glucocorticoids / therapeutic use
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Humans
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Indocyanine Green / administration & dosage
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Middle Aged
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Papilledema / diagnosis
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Papilledema / drug therapy
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Papilledema / microbiology
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Scleritis / diagnosis*
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Scleritis / drug therapy
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Scleritis / microbiology
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Subretinal Fluid
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Tuberculosis, Ocular / diagnosis*
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Tuberculosis, Ocular / drug therapy
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Tuberculosis, Ocular / microbiology
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Tuberculosis, Pulmonary / diagnosis
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Tuberculosis, Pulmonary / drug therapy
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Visual Acuity
Substances
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Antitubercular Agents
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Coloring Agents
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Glucocorticoids
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Indocyanine Green