Disseminated Tuberculosis Presenting as Ciliary Body and Thyroid Mass Lesions: A Case Report

被引：1

作者：

Singh, Jayanti ^{[1
]}

Saluja, Pranav ^{[1
]}

Thacker, Abhiram ^{[1
]}

More, Amruta ^{[1
]}

Tripathi, Shubhi ^{[1
]}

Sen, Alok ^{[1
,2
]}

机构：

[1] Sadguru Netra Chikitsalaya, Dept Retina & Uvea, Chitrakoot, India

[2] Sadguru Netra Chikitsalaya, Dept Vitreo retina, Chitrakoot 210204, Madhya Pradesh, India

来源：

OCULAR IMMUNOLOGY AND INFLAMMATION | 2024年 / 32卷 / 06期

关键词：

Ciliary body granuloma; disseminated tuberculosis; extra pulmonary tuberculosis; paradoxical reaction; thyroid mass; GRANULOMA;

D O I：

10.1080/09273948.2022.2164730

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose: To report a case of disseminated TB presenting as ciliary body and thyroid mass lesions.Case report: A 17-year-old male patient presented with a thyroid mass and blurring of vision in the left eye. A diagnosis of ciliary body granuloma was made. Although the Mantoux was negative, the HRCT chest showed evidence of miliary TB, and the fine needle aspiration cytology from the thyroid mass revealed AFB. On initiation of Antitubercular therapy(ATT), a paradoxical worsening of ciliary body granuloma was noted which resolved on starting steroids.Conclusion: Involvement of thyroid gland and ciliary body although rare in tuberculosis, may be the presenting feature of disseminated TB. Paradoxical reactions seen after initiation of ATT in these cases may respond well to oral steroids.

引用

页码：1097 / 1100

页数：4

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