Tuberculous neuroretinitis.
OBJECTIVE
To describe a patient with tuberculous neuroretinitis.


METHODS
Retrospective case report.


RESULTS
We describe a 43-year-old otherwise asymptomatic woman with a known exposure to tuberculosis who had unilateral optic disc edema and a partial macular star (neuroretinitis). This was followed approximately 1 year later by the development of an exudative retinal detachment in the setting of bilateral multifocal choroiditis. Laboratory testing revealed a marked positive cutaneous reaction to purified protein derivative (PPD). Treatment with antituberculosis medicine alone resulted in prompt resolution of the choroidal infiltrates and complete flattening of the exudative detachment.


CONCLUSIONS
Tuberculosis should be considered in the differential diagnosis for patients with neuroretinitis.
Stechschulte
S U
SU
The Francis I. Proctor Foundation and The Department of Ophthalmology, University of California San Francisco, School of Medicine, 94143-0944, USA.
Kim
R Y
RY
Cunningham
E T
ET
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D009902:Optic Neuritis / Q000175:diagnosis / Q000382:microbiology*; D010211:Papilledema / Q000382:microbiology; D012163:Retinal Detachment / Q000209:etiology; D012173:Retinitis / Q000175:diagnosis / Q000382:microbiology*; D014392:Tuberculosis, Ocular / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents