Ocul Immunol Inflamm. 2013 Jun;21(3):251-3. doi: 10.3109/09273948.2013.769060. Epub 2013 Apr 25.
Intraocular TB is usually known to present as granulomatous uveitis and presence of hypopyon is extremely rare. The authors describe a case of intraocular tuberculosis presenting as hypopyon uveitis.
Case report.
A 40-year-old immunosuppressed woman presented with acute granulomatous uveitis with hypopyon and cervical lymphadenopathy. She underwent aqueous tap for polymerase chain reaction, lymph node biopsy, and PET scan.
Molecular diagnostic procedures provided a definite diagnosis of ocular tuberculosis. Antitubercular treatment and steroids led to improvement.
Intraocular TB can present as hypopyon uveitis and a high index of suspicion is needed, especially in the endemic areas.
眼内结核通常表现为肉芽肿性葡萄膜炎，前房积脓极为罕见。作者描述了一例以前房积脓性葡萄膜炎为表现的眼内结核病例。
病例报告。
一名 40 岁免疫抑制女性患者出现伴有前房积脓的急性肉芽肿性葡萄膜炎和颈部淋巴结病。她接受了聚合酶链反应的房水穿刺、淋巴结活检和 PET 扫描。
分子诊断程序明确诊断为眼结核。抗结核治疗和类固醇治疗导致病情改善。
眼内结核可表现为前房积脓性葡萄膜炎，需要高度怀疑，特别是在流行地区。
