Skip to main content
Top
Published in: International Ophthalmology 5/2018

01-10-2018 | Case Report

Splenic tuberculosis and multifocal serpiginoid choroiditis

Authors: Pradeep Kumar, Prateek Kakkar, Raghav Ravani, R. Karthikeya, Atul Kumar

Published in: International Ophthalmology | Issue 5/2018

Login to get access

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.
Literature
1.
go back to reference Carpenter G, Stephenson S (1901) A note upon tuberculosis of the choroid. Br Med J 2(2131):1334–1336 Carpenter G, Stephenson S (1901) A note upon tuberculosis of the choroid. Br Med J 2(2131):1334–1336
2.
go back to reference Nazari Khanamiri H, Rao NA (2013) Serpiginous choroiditis and infectious multifocal serpiginoid choroiditis. Surv Ophthalmol 58(3):203–232CrossRefPubMedCentral Nazari Khanamiri H, Rao NA (2013) Serpiginous choroiditis and infectious multifocal serpiginoid choroiditis. Surv Ophthalmol 58(3):203–232CrossRefPubMedCentral
3.
go back to reference 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):55–60CrossRefPubMedCentral 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):55–60CrossRefPubMedCentral
4.
go back to reference 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):840–850CrossRefPubMedCentral 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):840–850CrossRefPubMedCentral
5.
go back to reference 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):628–653CrossRefPubMedCentral 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):628–653CrossRefPubMedCentral
6.
go back to reference Pepple KL, Van Gelder R, Forooghian F (2014) Caveats about QuantiFERON-TB gold in-tube testing for uveitis. Am J Ophthalmol 157(4):752–753CrossRefPubMedCentral Pepple KL, Van Gelder R, Forooghian F (2014) Caveats about QuantiFERON-TB gold in-tube testing for uveitis. Am J Ophthalmol 157(4):752–753CrossRefPubMedCentral
7.
go back to reference Gupta V, Gupta A, Arora S, Bambery P, Dogra MR, Agarwal A (2003) Presumed tubercular serpiginouslike choroiditis: clinical presentations and management. Ophthalmology 110(9):1744–1749CrossRefPubMedCentral Gupta V, Gupta A, Arora S, Bambery P, Dogra MR, Agarwal A (2003) Presumed tubercular serpiginouslike choroiditis: clinical presentations and management. Ophthalmology 110(9):1744–1749CrossRefPubMedCentral
8.
go back to reference Annamalai R, Biswas J (2015) Bilateral choroidal tuberculoma in miliary tuberculosis—report of a case. J Ophthalmic Inflamm Infect 5(1):4CrossRefPubMedCentral Annamalai R, Biswas J (2015) Bilateral choroidal tuberculoma in miliary tuberculosis—report of a case. J Ophthalmic Inflamm Infect 5(1):4CrossRefPubMedCentral
9.
go back to reference 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):98–107CrossRef 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):98–107CrossRef
13.
go back to reference Gan W-L, Jones NP (2013) Serpiginous-like choroiditis as a marker for tuberculosis in a non-endemic area. Br J Ophthalmol 97(5):644–647CrossRefPubMedCentral Gan W-L, Jones NP (2013) Serpiginous-like choroiditis as a marker for tuberculosis in a non-endemic area. Br J Ophthalmol 97(5):644–647CrossRefPubMedCentral
15.
go back to reference 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):761–766CrossRefPubMedCentral 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):761–766CrossRefPubMedCentral
Metadata
Title
Splenic tuberculosis and multifocal serpiginoid choroiditis
Authors
Pradeep Kumar
Prateek Kakkar
Raghav Ravani
R. Karthikeya
Atul Kumar
Publication date
01-10-2018
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 5/2018
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-017-0689-x

Other articles of this Issue 5/2018

International Ophthalmology 5/2018 Go to the issue