Choroidal biopsy of a patient with AIDS and systemic tuberculosis: a clinicopathologic case report.
OBJECTIVE
To report a case of Mycobacterium tuberculosis choroidal granuloma confirmed by the presence of acid-fast bacilli seen on subretinal biopsy of the choroidal lesion.


METHODS
Observational case report. A 54-year-old woman with AIDS and systemic tuberculosis reported decreased vision in the right eye for 2 months duration.


RESULTS
Subretinal biopsy showed granulomatous inflammation, and acid-fast bacilli were identified on the acid-fast bacilli stain.


CONCLUSIONS
In cases of presumed tuberculosis choroidal granuloma not initially responsive to tuberculosis therapy, biopsy of the choroidal mass can be beneficial to confirm the diagnosis and guide treatment.
From the *Department of Ophthalmology, University of Minnesota Medical School, Minneapolis, Minnesota; †Department of Pathology, Abbott Northwestern Hospital, Minneapolis, Minnesota; ‡Hennepin County Medical Center, Minneapolis, Minnesota; and §Retina Center of Minnesota, Minneapolis, Minnesota.
Hans S
HS
Grinager
Tamera J
TJ
Lillemoe
Kevin C
KC
Engel
Geoffrey G
GG
Emerson