Tuberculous serpinginouslike choroiditis

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Presentation transcript:

Tuberculous serpinginouslike choroiditis Barraso, M., Mousavi, K., Rodríguez M., Moreno, Sergi., Casado, J. Oftalmology Service. University Hospital Mútua Terrassa

Clinical case 37 year-old woman. Blurred vision LE>RE. Medical history: artromyalgies, twin sister with repeated abortions. VA: 20/32 // CF 1 meter BMC & IOP: normal

Cas clínic

Clinical case Laboratory study: Lupus anticoagulant +, ACL IgG + QuantiFERON + (6.41) Diagnostic orientation: Includes: CBC (complete blood count) ESR (erythrocyte sedimentation rate) ACE (angiotensin converting enzyme) RPR, FTA/ABS HIV,HBV, HCV, HSV, CMV Toxoplasma, Lyme titer Urinalysis Chest X ray, PPD skin test, quantiferon Tuberculous serpinginouslike choroiditis

Clinical case Treatment: Anti-TBC: Isoniazid + rifampicin + pyrazinamide + etambutol Prednisolone 60mg/day + folic acid 5 mg/day After 2 months: VA: 20/20 // 20/125

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