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Koubaa M, Smaoui F, Gargouri S, Ben Ayed H, Rekik K, Abid I, Maaloul I, Feki J, Marrakchi C, Ben Jemaa M. [Ocular tuberculosis : A case series]. Rev Med Interne 2018; 39:326-331. [PMID: 29580651 DOI: 10.1016/j.revmed.2018.02.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2017] [Revised: 01/14/2018] [Accepted: 02/04/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVES Ocular tuberculosis is a rare form of extra pulmonary tuberculosis. It represents 1-2% of all clinical forms. The aim of this work was to focus on diagnostic and therapeutic characteristics of ocular tuberculosis. METHODS We report a case series of 14 patients with ocular tuberculosis seen in an infectious diseases department between 2006 and 2015. The diagnosis was retained on clinical data and a positive tuberculin skin test or interferon-gamma release assay. RESULTS The patient's mean age was 40.7±9years. The most common clinical presentation was uveitis (11 patients and 16 eyes). An extra ocular involvement was associated in three patients. The mean duration of antitubercular therapy was 10±2.5 months. Corticosteroid therapy was associated in 11 cases. The outcome was favorable in all cases. Two patients had maintained visual sequelae. CONCLUSION Ocular tuberculosis is a rare disease but still remains a diagnostic problem. It should be considered in case of any chronic ocular symptoms, especially in endemic countries. Early management can improve the visual prognosis.
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Affiliation(s)
- M Koubaa
- Service des maladies infectieuses, CHU Hédi Chaker, Faculté de médecine, Université de Sfax, 3029 Sfax, Tunisie; Unité de recherche « Tuberculose extrapulmonaire », CHU Hédi Chaker, Sfax, Tunisie.
| | - F Smaoui
- Service des maladies infectieuses, CHU Hédi Chaker, Faculté de médecine, Université de Sfax, 3029 Sfax, Tunisie; Unité de recherche « Tuberculose extrapulmonaire », CHU Hédi Chaker, Sfax, Tunisie
| | - S Gargouri
- Service d'ophtalmologie, CHU Habib Bourguiba, université de Sfax, Tunisie
| | - H Ben Ayed
- Service d'épidémiologie et de médecine communautaire, CHU Hédi Chaker, université de Sfax, Tunisie; Unité de recherche « Tuberculose extrapulmonaire », CHU Hédi Chaker, Sfax, Tunisie
| | - K Rekik
- Service des maladies infectieuses, CHU Hédi Chaker, Faculté de médecine, Université de Sfax, 3029 Sfax, Tunisie; Unité de recherche « Tuberculose extrapulmonaire », CHU Hédi Chaker, Sfax, Tunisie
| | - I Abid
- Service d'ophtalmologie, CHU Habib Bourguiba, université de Sfax, Tunisie
| | - I Maaloul
- Service des maladies infectieuses, CHU Hédi Chaker, Faculté de médecine, Université de Sfax, 3029 Sfax, Tunisie; Unité de recherche « Tuberculose extrapulmonaire », CHU Hédi Chaker, Sfax, Tunisie
| | - J Feki
- Service d'ophtalmologie, CHU Habib Bourguiba, université de Sfax, Tunisie
| | - C Marrakchi
- Service des maladies infectieuses, CHU Hédi Chaker, Faculté de médecine, Université de Sfax, 3029 Sfax, Tunisie; Unité de recherche « Tuberculose extrapulmonaire », CHU Hédi Chaker, Sfax, Tunisie
| | - M Ben Jemaa
- Service des maladies infectieuses, CHU Hédi Chaker, Faculté de médecine, Université de Sfax, 3029 Sfax, Tunisie; Unité de recherche « Tuberculose extrapulmonaire », CHU Hédi Chaker, Sfax, Tunisie
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Ozdamar Y, Ozkan SS, Beyazyildiz E, Ozdal PC, Teberik K, Altintas AK. The use of the QuantiFERON-tuberculosis gold test in the diagnosis of ocular tuberculosis. J Pediatr Ophthalmol Strabismus 2010; 47 Online:e1-3. [PMID: 20882948 DOI: 10.3928/01913913-20100920-09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2009] [Accepted: 08/16/2010] [Indexed: 11/20/2022]
Abstract
Ocular tuberculosis without systemic manifestations may rarely occur. The diagnosis of ocular tuberculosis is important because it has a wide spectrum of presentations and requires a multidisciplinary approach. The QuantiFERON-tuberculosis gold test is a new diagnostic test that may be useful in making a suitable diagnosis.
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Affiliation(s)
- Yasemin Ozdamar
- Department of Retina, Ulucanlar Eye Education and Research Hospital, Ankara, Turkey.
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