Presumed ocular tuberculosis in an AIDS patient.
BACKGROUND
Prior to the advent of anti-tuberculosis medications, ocular manifestations of tuberculosis, including choroidal tubercles, were common.


METHODS
A 46-year-old Hispanic male with a history of AIDS, tuberculosis and treated neurosyphilis presented for examination complaining of decreased vision in the left eye. Ophthalmoscopy revealed a large, elevated, juxtapapillary lesion consistent with a choroidal tubercle or an intraocular lymphoma.


RESULTS
During follow-up, the lesion responded well to systemic anti-tuberculosis therapy.


CONCLUSIONS
With the recent increase in incidence of tuberculosis in both th general population and AIDS patients, ocular manifestations of tuberculosis once thought to be rare may be increasing. Ocular tuberculosis should be considered in the differential diagnosis of patients presenting with intraocular masses, especially in individuals at high risk for exposure.
Welton
T H
TH
Townsend
J C
JC
Bright
D C
DC
Anderson
S F
SF
Nguyen
A T
AT
Ilsen
P F
PF
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000995:Antitubercular Agents / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D015862:Choroid Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008223:Lymphoma / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014392:Tuberculosis, Ocular / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis; D014794:Visual Fields
D000995:Antitubercular Agents