title: Anterior tuberculous scleritis: A diagnostic challenge.
abstract: METHODS
  We present the case of a 26 year-old Pakistani male, who after the presumptive diagnosis of anterior tuberculous scleritis (by an atypical clinical appearance and positive epidemiological link), was diagnosed with pulmonary tuberculosis.
  
  
  CONCLUSIONS
  Nodular anterior scleritis is an uncommon presentation of tuberculosis (TB). It is considered a diagnostic challenge because of the difficulty to extract bacilli from the ocular tissue. However, a detailed medical history and eye examination can be the key to an accurate diagnosis and appropriate treatment of the TB.
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Cruces, Barakaldo, Vizcaya, España. Electronic address: gavake@hotmail.com.
authors.forename: J G
authors.initials: JG
authors.lastname: Vargas-Kelsh
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Cruces, Barakaldo, Vizcaya, España.
authors.forename: A
authors.initials: A
authors.lastname: Fonollosa
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Cruces, Barakaldo, Vizcaya, España.
authors.forename: J
authors.initials: J
authors.lastname: Artaraz
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Cruces, Barakaldo, Vizcaya, España.
authors.forename: R
authors.initials: R
authors.lastname: del Rio
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Cruces, Barakaldo, Vizcaya, España.
authors.forename: A R
authors.initials: AR
authors.lastname: Silva-Ribeiro
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Cruces, Barakaldo, Vizcaya, España.
authors.forename: I
authors.initials: I
authors.lastname: Ruiz-Arruza
mesh_terms: D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D001992:Bronchoalveolar Lavage Fluid; D004359:Drug Therapy, Combination; D005188:False Negative Reactions; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D010154:Pakistan / Q000208:ethnology; D011241:Prednisone / Q000627:therapeutic use; D012590:Sclera / Q000473:pathology; D015423:Scleritis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D014392:Tuberculosis, Ocular / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D000995:Antitubercular Agents; D011241:Prednisone
keywords: Escleritis; Escleritis tuberculosa; Mycobacterium tuberculosis; Ocular tuberculosis; Scleritis; Tuberculosis; Tuberculosis ocular; Tuberculous Scleritis