Mycobacterium tuberculosis can spread through the entire body but rarely involves hp 14a-na0031wm the eye.We report a patient with endophthalmitis in one eye and simultaneous retinal vasculitis in the fellow eye.Systemic work-up suggested infective endopericarditis.
Polymerase chain reaction analyses of the vitreous and pericardial fluid were positive for M.tuberculosis.We initiated a four-drug antituberculous treatment regimen (isoniazid, ethambutol, pyrazinamide, and rifampin).
After two weeks, we discontinued all the medications due to drug-induced hepatitis.We restarted isoniazid and rifampin, but hepatitis recurred.Finally, we chose isoniazid/ethambutol combination for 18 months, and also administered short-term systemic corticosteroid.
His vision improved considerably with no recurrence of hepatitis or tuberculosis for 3 years after completion of treatment.Ocular tuberculosis can masquerade as other causes of intraocular inflammation, and rohrventilator industrie a medical team consisting of an ophthalmologist and an infectious disease specialist might be needed for the diagnosis and management.