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Case Reports in Ophthalmological Medicine
Volume 2012, Article ID 606741, 3 pages
http://dx.doi.org/10.1155/2012/606741
Case Report

Ocular Tuberculosis with Multiple Cerebral Abscesses

Department of Ophthalmology, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia

Received 30 November 2011; Accepted 2 February 2012

Academic Editors: K. G. Boboridis, Y. El-Shabrawi, A. Ferreras, and P. Venkatesh

Copyright © 2012 Saidin Nor-Masniwati et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 23-year-old Malay man presented with headache for one-month duration. It was associated with painless blurring of vision of the right eye. He had loss of appetite and reduced weight but no night sweats or hemoptysis. His visual acuity on the right eye was 6/45 and improved to 6/15 with pinhole. Right fundus examination revealed a choroidal tuberculoma located at one disc diameter away from optic disc superiorly with mild vitritis. Systemic examinations revealed no significant finding. Mantoux test reading was 22 mm with erythrocyte sedimentation rate that was 14 mm/h. Other blood investigations were negative with normal chest radiography. The computerized tomography scan of the brain revealed multiple cerebral abscesses. A clinical diagnosis of right ocular tuberculosis with multiple cerebral abscesses was made. He was treated with antituberculosis chemotherapy for one year which divided into intensive phase for three months and maintenance phase for nine months. Cerebral abscesses resolved after three months of antituberculosis drugs and at one-year follow-up, and the choroidal tuberculoma resolved completely with scar formation and significant macular striae.