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International Ophthalmology

, Volume 38, Issue 5, pp 2191–2194 | Cite as

Splenic tuberculosis and multifocal serpiginoid choroiditis

  • Pradeep Kumar
  • Prateek Kakkar
  • Raghav Ravani
  • R. Karthikeya
  • Atul Kumar
Case Report

Abstract

Serpiginoid multifocal choroiditis is a distinct morphological identity with a reported causal association with Mycobacterium tuberculosis. We report a case of serpiginoid multifocal choroiditis in a 17-year-old boy who was suffering from isolated splenic tuberculosis. He was treated with systemic steroids along with anti-tubercular treatment with good visual recovery. This case was unique as no other organs except spleen and choroid showed tubercular involvement. We hereby emphasize association of extrapulmonary sites with multifocal serpiginoid choroiditis and propose a thorough investigation for primary to be included in routine protocol of choroiditis workup.

Keywords

Splenic Tuberculosis Multifocal Serpiginoid Choroiditis 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

All procedures performed in the study were in accordance with the ethical standards of the Institutional ethics committee, and with the 1964 Declaration of Helsinki and its later amendments.

Informed consent

It was obtained from the participant included in the study and he consented to the submission of the case report for submission to the journal.

References

  1. 1.
    Carpenter G, Stephenson S (1901) A note upon tuberculosis of the choroid. Br Med J 2(2131):1334–1336Google Scholar
  2. 2.
    Nazari Khanamiri H, Rao NA (2013) Serpiginous choroiditis and infectious multifocal serpiginoid choroiditis. Surv Ophthalmol 58(3):203–232CrossRefPubMedCentralGoogle Scholar
  3. 3.
    Luigi GD, Mantovani A, Papadia M, Herbort CP (2012) Tuberculosis-related choriocapillaritis (multifocal-serpiginous choroiditis): follow-up and precise monitoring of therapy by indocyanine green angiography. Int Ophthalmol 32(1):55–60CrossRefPubMedCentralGoogle Scholar
  4. 4.
    Bansal R, Sharma K, Gupta A, Sharma A, Singh MP, Gupta V et al (2015) Detection of mycobacterium tuberculosis genome in vitreous fluid of eyes with multifocal serpiginoid choroiditis. Ophthalmology 122(4):840–850CrossRefPubMedCentralGoogle Scholar
  5. 5.
    Kee AR, Gonzalez-Lopez JJ, Al-Hity A, Gupta B, Lee CS, Gunasekeran DV et al (2016) Anti-tubercular therapy for intraocular tuberculosis: a systematic review and meta-analysis. Surv Ophthalmol 61(5):628–653CrossRefPubMedCentralGoogle Scholar
  6. 6.
    Pepple KL, Van Gelder R, Forooghian F (2014) Caveats about QuantiFERON-TB gold in-tube testing for uveitis. Am J Ophthalmol 157(4):752–753CrossRefPubMedCentralGoogle Scholar
  7. 7.
    Gupta V, Gupta A, Arora S, Bambery P, Dogra MR, Agarwal A (2003) Presumed tubercular serpiginouslike choroiditis: clinical presentations and management. Ophthalmology 110(9):1744–1749CrossRefPubMedCentralGoogle Scholar
  8. 8.
    Annamalai R, Biswas J (2015) Bilateral choroidal tuberculoma in miliary tuberculosis—report of a case. J Ophthalmic Inflamm Infect 5(1):4CrossRefPubMedCentralGoogle Scholar
  9. 9.
    Fung AT, Pal S, Yannuzzi NA, Christos P, Cooney M, Slakter JS et al (2014) Multifocal choroiditis without panuveitis: clinical characteristics and progression. Retina 34(1):98–107CrossRefGoogle Scholar
  10. 10.
    Joondeph BC, Tessler HH (1990) Multifocal choroiditis. Int Ophthalmol Clin 30(4):286–290CrossRefPubMedCentralGoogle Scholar
  11. 11.
    Helm CJ, Holland GN (1993) Ocular tuberculosis. Surv Ophthalmol 38(3):229–256CrossRefPubMedCentralGoogle Scholar
  12. 12.
    Gupta V, Gupta A, Rao NA (2007) Intraocular tuberculosis—an update. Surv Ophthalmol 52(6):561–587CrossRefPubMedCentralGoogle Scholar
  13. 13.
    Gan W-L, Jones NP (2013) Serpiginous-like choroiditis as a marker for tuberculosis in a non-endemic area. Br J Ophthalmol 97(5):644–647CrossRefPubMedCentralGoogle Scholar
  14. 14.
    Revised national TB control programme. TB India 2016. Annual status report (internet). http://www.tbcindia.nic.in/showfile.php?lid=3180 [cited 2016 Dec 12]. http://www.tbcindia.nic.in/showfile.php?lid=3180
  15. 15.
    Mackensen F, Becker MD, Wiehler U, Max R, Dalpke A, Zimmermann S (2008) QuantiFERON TB-gold—a new test strengthening long-suspected tuberculous involvement in serpiginous-like choroiditis. Am J Ophthalmol 146(5):761–766CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  1. 1.Unit 2, Dr Rajendra Prasad Centre for Ophthalmic SciencesAll India Institute of Medical SciencesNew DelhiIndia

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