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2002, Number 3

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Rev Inst Nal Enf Resp Mex 2002; 15 (3)

Ocular manifestations of miliary tuberculosis. Considerations on five cases.

Tenorio G, Escobedo JL, Sánchez SR, Cueto RG

Language: Spanish
References: 25
Page: 166-171
PDF size: 150.04 Kb.


ABSTRACT

Miliary tuberculosis (TbM) presents as the hematogenous spread of Mycobacterium tuberculosis (Mt) to different organs from a primary lesion in which persistent Mt remained viable. Ophthalmic tuberculosis manifests in various forms in each eye structure and the most frequent are granulomatous uveitis and choroidal granulomas. Objective: To identify ophthalmic lesions in HIV-negative patients with TbM. Methods and material: All patients with TbM diagnosed by chest X-ray and Mt-positive Lowenstein-Jenssen cultures of urine and sputum were subjected to ophthalmologic examination. Result: Twenty-eight patients were included, among which five (18%) presented ophthalmic lesions compatible with TbM, two presented multifocal choroiditis, one choroidal granuloma, one chorioretinal scars, and one presented peripheral vasculitis sequelae. Conclusions: Diagnosis of ophthalmic tuberculous lesions is difficult, thus it is important to perform a routine ophthalmologic examination in patients with TbM to achieve an early detection.


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