Kumar Pradeep, Kakkar Prateek, Ravani Raghav, Karthikeya R, Kumar Atul
Unit 2, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Int Ophthalmol. 2018 Oct;38(5):2191-2194. doi: 10.1007/s10792-017-0689-x. Epub 2017 Aug 10.
Serpiginoid multifocal choroiditis is a distinct morphological identity with a reported causal association with Mycobacterium tuberculosis. We report a case of serpiginoid multifocal choroiditis in a 17-year-old boy who was suffering from isolated splenic tuberculosis. He was treated with systemic steroids along with anti-tubercular treatment with good visual recovery. This case was unique as no other organs except spleen and choroid showed tubercular involvement. We hereby emphasize association of extrapulmonary sites with multifocal serpiginoid choroiditis and propose a thorough investigation for primary to be included in routine protocol of choroiditis workup.
匐行性多灶性脉络膜炎是一种独特的形态学表现，据报道与结核分枝杆菌存在因果关联。我们报告一例17岁男孩的匐行性多灶性脉络膜炎病例，该男孩患有孤立性脾结核。他接受了全身类固醇治疗以及抗结核治疗，视力恢复良好。该病例较为独特，因为除脾脏和脉络膜外，没有其他器官显示出结核累及。我们在此强调肺外部位与多灶性匐行性脉络膜炎的关联，并建议在脉络膜炎检查的常规方案中纳入对原发性疾病进行全面检查的内容。
