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Pulmonary tuberculosis presenting with central retinal vein occlusion
  1. D G Fullerton1,
  2. A Shrivastava1,
  3. M Munavvar1,
  4. S Jain2,
  5. J Howells3,
  6. P MacDowall4
  1. 1
    Department of Respiratory Medicine, Royal Preston Hospital, Fulwood, Preston, UK
  2. 2
    Department of Opthalmology, Royal Preston Hospital, Fulwood, Preston, UK
  3. 3
    Department of Radiology, Royal Preston Hospital, Fulwood, Preston, UK
  4. 4
    Department of Renal Medicine, Royal Preston Hospital, Fulwood, Preston, UK
  1. D G Fullerton, Department of Respiratory Medicine, Royal Preston Hospital, Sharoe Green Lane North, Fulwood, Preston, PR2 9HT, UK; duncan.fullerton{at}nhs.net

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Tuberculosis remains a major international public health concern, with the global incidence rate increasing approximately 0.4% per year, but much faster in sub-Saharan Africa and Eastern Europe;1 the effect that HIV has on incidence is also highly significant.2 Within the UK the incidence of tuberculosis varies considerably between regions and ethnic groups, with rates increasing significantly among recent immigrants.3

This case describes a patient who presented with central retinal vein occlusion (CRVO) who was subsequently diagnosed with tuberculosis.

Case report

A 28-year-old Asian woman presented with transient obscuration of her vision. She had no other eye symptoms, central nervous system or systemic symptoms. She had no history of fevers or night sweats. There were no respiratory symptoms. There was no past medical history. She had lived in the United Kingdom for 18 months and had an apparently normal chest X-ray in her home country before leaving to come to the United Kingdom. She …

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