Koroidin Tüberkülom Öntanısı

Koroidal granülom özellikle immunkompetan bireylerde tüberkülozun nadir bir prezantasyonudur. Pozitif PPD testi dışında tüberkülozun klinik manifestasyonu olmayan fundus muayenesinde sol gözde koroidal lezyon ve sol gözde görmede belirgin azalma saptanan genç bayan hasta sunulmuştur. Tüberküloz öntanısı ile kortikosteroidin de bulunduğu antitüberküloz tedavi başlandı ve dramatik cevap alındı. Bu şekilde olan gözlerde tanı ve tedavide yüksek şüpheye sahip olmak önemlidir.

Anahtar Kelimeler:

Koroidal granülom, tüberküloz öntanısı, antitüberküloz tedavi

Presumed tuberculomas of the choroid

Choroidal granuloma is a rare presentation of tuberculosis especially in immunocompetent individuals. We present a case of a young female with marked decrease in visual acuity of the left eye and a choroidal lesion on fundus examination however with no systemic manifestation of tuberculosis except a positive Mantoux test. A presumptive diagnosis of tuberculosis was made and the patient was put on anti tubercular treatment with corticosteroids to which she showed drastic improvement. Thus it is important to have a high index of suspicion for the diagnosis and treatment in these eyes.

Keywords:

choroidal granuloma; presumed tuberculosis; anti tubercular therapy,

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