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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2015; 05(01): 094-096
DOI: 10.1055/s-0040-1703875
Case Report

A CASE OF DISSEMINATED TUBERCULOSIS WITH OCULAR INVOLVEMENT

Md Fekarul Islam
1   Post Graduate, Department of Pediatric Medicine, Institute of Child Health, Biresh Guha Street, Kolkata, West Bengal, India.
,
Devdeep Mukherjee
2   Senior Resident, Department of Pediatric Medicine, Institute of Child Health, Biresh Guha Street, Kolkata, West Bengal, India.
,
Ritabrata Kundu
3   Professor, Department of Pediatric Medicine, Institute of Child Health, Biresh Guha Street, Kolkata, West Bengal, India.
,
Prabal Chandra Niyogi
4   Deputy Director, Department of Pediatric Medicine, Institute of Child Health, Biresh Guha Street, Kolkata, West Bengal, India.
,
Joydeep Das
5   Assistant Professor, Institute of Child Health, Department of Pediatric Medicine, Institute of Child Health, Biresh Guha Street, Kolkata, West Bengal, India.
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Abstract

Disseminated Tuberculosis (DTB) refers to tubercular involvement of two or more non-contiguous sites and is commonly associated with immunocompromised state. It is an unusual presentation of Tuberculosis (TB), especially in the absence of immunodeficiency. 1.4% of patients with Pulmonary Tuberculosis (PTB) develop ocular manifestations but many patients with ocular TB have no evidence of PTB. Tuberculosis can cause a wide variety of ophthalmic findings, ranging from the ocular surface through the optic nerve and to the central nervous system. In this article, we report a case of Disseminated Tuberculosis with ocular involvement in a 5years old female. Our case is unique for the presence of bilateral squint, unilateral nebular type of corneal opacity, bilateral iritis with posterior synechiae and cataract at the same time. It lays emphasis on the fact that a patient with tuberculosis should be screened for multiple foci.

Keywords

Disseminated Tuberculosis (DTB) - posterior synechiae - squint - cataract


Publication History

Article published online:
22 April 2020

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