Solitary nonreactive choroidal tuberculoma in a patient with acquired immune deficiency syndrome

Am J Ophthalmol. 2001 Jan;131(1):138-40. doi: 10.1016/s0002-9394(00)00622-x.

Abstract

Purpose: To report a case of a solitary, nonreactive choroidal tuberculoma in a patient with acquired immune deficiency syndrome (AIDS).

Method: Case Report.

Results: A 26-year-old male patient with AIDS and systemic tuberculosis was found to have a solitary 1.5-disc-diameter elevated mass just superior and temporal to the optic disc. There was no associated inflammation, exudate, hemorrhage, or serous retinal detachment. Fluorescein angiography showed late hyperfluorescence in a staining pattern. The mass quickly regressed with antituberculosis therapy.

Conclusions: Choroidal tuberculoma can present with little associated inflammation or retinal change in a patient with AIDS. The clinical history and knowledge of opportunistic choroidal infections in patients with AIDS helps to make the diagnosis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Acquired Immunodeficiency Syndrome / diagnosis
  • Acquired Immunodeficiency Syndrome / drug therapy
  • Adult
  • Antiretroviral Therapy, Highly Active
  • Antitubercular Agents / therapeutic use
  • Choroid Diseases / complications*
  • Choroid Diseases / diagnosis
  • Choroid Diseases / drug therapy
  • Fluorescein Angiography
  • Humans
  • Male
  • Tuberculoma / complications*
  • Tuberculoma / diagnosis
  • Tuberculoma / drug therapy
  • Tuberculosis, Ocular / complications*
  • Tuberculosis, Ocular / diagnosis
  • Tuberculosis, Ocular / drug therapy

Substances

  • Antitubercular Agents