Presumed ocular and central nervous system tuberculosis in a patient with the acquired immunodeficiency syndrome.
OBJECTIVE
To elucidate a case of tuberculous choroiditis in a patient with the acquired immunodeficiency syndrome (AIDS).


METHODS
We treated a 35-year-old woman who had AIDS with neurologic involvement caused by Mycobacterium tuberculosis. She developed a yellow-white chorioretinal infiltrate with indistinct borders and mild vitreitis in the right eye, probably caused by this pathogen.


RESULTS
The patient's visual acuity improved in the right eye with healing of the ocular lesion and her neurologic condition improved after specific therapy with isoniazid, rifampin, and ethambutol.


CONCLUSIONS
Tuberculosis must be considered in the differential diagnosis of posterior uveitis and choroiditis in AIDS patients.
Muccioli
C
C
Department of Ophthalmology, Federal University of São Paulo, Paulista School of Medicine, São Paulo Hospital, Brazil.
Belfort
R
R
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D002825:Chorioretinitis / Q000382:microbiology / Q000473:pathology; D004359:Drug Therapy, Combination; D004977:Ethambutol / Q000627:therapeutic use; D005260:Female; D005654:Fundus Oculi; D015497:HIV-1; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D012293:Rifampin / Q000627:therapeutic use; D013183:Sputum / Q000382:microbiology; D014390:Tuberculosis, Meningeal / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D014392:Tuberculosis, Ocular / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D014792:Visual Acuity
D000995:Antitubercular Agents; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin