Haque Obaid Imtiyazul, Rizvi Syed Asghar, Siddiqui Ziya
Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
Jawaharlal Nehru Medical College and Hospital, Aligarh, Uttar Pradesh, India.
BMJ Case Rep. 2023 May 15;16(5):e254392. doi: 10.1136/bcr-2022-254392.
A female in her early 40s presented to the outpatient clinic for weight loss, fatigue, cough, followed by a gradual painful loss of vision in the right eye associated with redness over the past 3 months. Physical examination revealed bilateral axillary lymphadenopathy and non-healing skin ulcers on the left forearm and the left gluteal region. The patient had no light perception in the right eye and grade 4+ cells in the anterior chamber. A chest X-ray showed a cavitary lesion in the left upper lobe. Histopathological tests from the skin and lymph nodes revealed caseating granulomas, raising the suspicion of tuberculosis. A sputum nucleic acid amplification test was performed, which returned positive for The patient was treated with antitubercular chemotherapy and showed encouraging signs of progress after the treatment.
一名40岁出头的女性因体重减轻、疲劳、咳嗽前往门诊就诊，随后在过去3个月中右眼逐渐出现疼痛性视力丧失并伴有眼红。体格检查发现双侧腋窝淋巴结肿大，左前臂和左臀部有不愈合的皮肤溃疡。患者右眼无光感，前房有4+级细胞。胸部X线显示左上叶有空洞性病变。皮肤和淋巴结的组织病理学检查显示干酪样肉芽肿，怀疑为结核病。进行了痰核酸扩增试验，结果呈阳性。患者接受了抗结核化疗，治疗后显示出令人鼓舞的进展迹象。
