Ocular tuberculosis masquerading as atypical ocular toxoplasmosis

Abstract: Ocular tuberculosis is a great mimicker of various uveitis entities. We present a case of a 29-year-old male who came in with blurring of vision and floaters in the left eye. On examination, the left eye had anterior chamber cells and vitritis associated with retinitis. He had no other symptoms. The initial presentation was consistent with ocular toxoplasmosis, and he was started on oral sulfamethoxazole-trimethoprim and showed a good response to the treatment. However, work-up revealed negative toxoplasma antibody titers but a positive M. tuberculosis interferon-gamma release assay test and Mantoux test, making the diagnosis of ocular tuberculosis more likely. The patient was shifted to antituberculous therapy, which eventually resulted in the resolution of the inflammation with a recovery of the visual acuity. The diagnosis of ocular tuberculosis requires a detailed medical history as well as microbiologic and immunologic studies. A high index of suspicion by the treating ophth...

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Ocular tuberculosis masquerading as atypical ocular toxoplasmosis ; volume:13 ; day:29 ; month:09 ; year:2023 ; GMS ophthalmology cases ; 13 (29.09.2023)

Classification and Topics

• Classification: Medizin, Gesundheit

Contributors, Places and Time

• Creator: Bromeo, Albert John ; Lerit, Sweet Jorlene ; Arcinue, Cheryl

Further information

• DOI: 10.3205/oc000227
• URN: urn:nbn:de:0183-oc0002277
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 14.08.2025, 10:51 AM CEST