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Published in: International Ophthalmology 3/2016

01-06-2016 | Case Report

Detection of Mycobacterium tuberculosis with nested polymerase chain reaction analysis in enucleated eye ball in Eales’ disease

Authors: Aditya Verma, Jyotirmay Biswas, L. Dhanurekha, R. Gayathri, K. Lily Therese

Published in: International Ophthalmology | Issue 3/2016

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Abstract

Nested polymerase chain reaction (nPCR) was performed on enucleated eyeball for detection of Mycobacterium tuberculosis (M. tb) genome in a patient with Eales’ disease. PCR analysis in all previous studies has been done mainly using aqueous, vitreous and epiretinal membranes from these patients. Paraffin wax embedded tissue section of the enucleated eyeball was analyzed by histopathology and nPCR targeting MPB64 gene and IS6110 region of M. tb genome. Lymphocytic infiltration was seen in the vitreous, iris and the retinal tissue. Ziehl Neelsen stain was negative for acid fast bacilli. Caseation necrosis was not seen in any section. Agarose gel electrophoretogram showed positive results with 200 bp specific amplified product targeting MPB64 gene, whereas nPCR targeting IS6110 region was negative. Since biopsy proven M. tb is extremely difficult in ocular tissues due to extensive necrosis, the nPCR technique aided in the diagnosis.
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Metadata
Title
Detection of Mycobacterium tuberculosis with nested polymerase chain reaction analysis in enucleated eye ball in Eales’ disease
Authors
Aditya Verma
Jyotirmay Biswas
L. Dhanurekha
R. Gayathri
K. Lily Therese
Publication date
01-06-2016
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 3/2016
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-015-0144-9

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