Tubercular sclerouveitis masquerading as an ocular tumor: a case report.
OBJECTIVE
To report the diagnosis of a case of tubercular sclerouveitis, which masqueraded as an ocular tumor.


METHODS
Case report.


METHODS
Retrospective medical chart review including serological, radiological, and histopathological investigative results.


RESULTS
A patient presented with recurrent episodes of sclerouveitis in his right eye. Serological investigations for infective and connective tissue disorders were negative. Radiological investigation was suggestive of a scleral perforation. The eye was enucleated and histopathological examination showed chronic inflammation. Polymerase chain reaction of the ocular tissue was positive for IS1160 for Mycobacterium tuberculosis.


CONCLUSIONS
Infective scleritis should be suspected in cases of scleritis that progress despite treatment. Polymerase chain reaction is instrumental in diagnosing challenging cases.
Karpagam
K
Damodaran
Amala Elizabeth
AE
George
Shubhra
S
Goel
Vikas
V
Khetan
Veena
V
Noronha
Jyotirmay
J
Biswas
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D003951:Diagnostic Errors; D015353:Eye Enucleation; D005134:Eye Neoplasms / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011859:Radiography; D015423:Scleritis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014392:Tuberculosis, Ocular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D014605:Uveitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery
D000995:Antitubercular Agents; D002939:Ciprofloxacin