Case Report

Tuberculous Panophthalmitis with Lymphadenitis and Central Nervous System Tuberculoma

Table 1

Clinical features of TB endophthalmitis/panophthalmitis cases previously described in the literature.

AuthorsYearNumber of casesHost (sex/age/immune status)OnsetExtraocular foci of TBOutcomesNotes

Dvorak-Theobald [7]19581M/37/immunocompetent2 weeksTB adrenal gland, previous TB kidneyEnucleation

Arrell [8]19671M/73/immunocompetent2 monthsOld pulmonary TB (from chest film)Evisceration

McMoli et al. [9]19781M/1/immunocompetent?Pulmonary TBEvisceration

Manthey et al. [10]19821F/60/immunocompetent?Pulmonary TBEnucleationPrior steroid treatment led to temporary regression

F/30/immunocompetent2 monthsPrevious disseminated TB, active pulmonary TBEnucleation
Ni et al. [11]19823M/11/immunocompetent2 monthsAbnormal chest filmEnucleationMisdiagnosed with retinoblastoma
F/15/immunocompetent1 monthAbnormal chest filmEnucleation

Menezo et al. [12]19871F/20/HIV3 daysNone but PPD+EviscerationHistory of heroin use

Regillo et al. [13]19911F/29/immunocompetent6 monthsPulmonary TBEviscerationPrior steroid treatment

Anders and Wollensak [14]19951F/36/SLE2 monthsPulmonary TBEnucleation

Biswas et al. [15]19952F/42/??TB liverEvisceration
F/30/??Pulmonary TBEviscerationBilateral involvement

Raina et al. [16]20001F/8/immunocompetent3 monthsNone but PPD+Enucleation

Sheu et al. [17] 20012F/75/immunocompetent2 weeksPulmonary TBEvisceration
M/68/immunocompetent2 monthsPulmonary TB (miliary TB)Enucleation

Grosse et al. [18]20021M/30/immunocompetent2 monthsTB lymphadenitis (generalized), CNS tuberculomaEvisceration

Sen et al. [19]20031M/4/immunocompetent1 monthCNS tuberculomaEviscerationBilateral involvement

Chawla et al. [20]20041F/12/immunocompetent2 monthsAbnormal chest film responsive to ATTEnucleation

Demirci et al. [21] 20042M/28/immunocompetent3 monthsTB peritonitis (later)EviscerationPrior steroid treatment
F/29/immunocompetent5 monthsGranulomatous hilar lymphadenopathy, PPD+EnucleationPrior steroid treatment

M/45/HIV, CD4 = 88?Pulmonary TBEvisceration
Babu et al. [23]20063M/36/HIV, CD4 = 263?Pulmonary TBEvisceration
M/34/HIV, CD4 = 34?Pulmonary TB, abdominal TBEvisceration

Mehta and Vaidya [24]20111F/77/immunocompetent1 weekNone, PPD and QFT—negative, CT chest and abdomen—normalRegressed with ATT/vitrectomyUnderwent cataract extraction 2 months earlier

Hase et al. [25]20151M/81/steroid use?Pulmonary TB (miliary TB)Regressed with ATT/vitrectomy

TB = tuberculosis, M = male, F = female, SLE = systemic lupus erythematosus, PPD = purified protein derivative (Mantoux) test, QFT = Quantiferon TB gold test, and ATT = antituberculous therapy.