RESPIRATORY
OLD TUBERCULOSIS
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Choroidal vasculitis
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Ampiginous choroiditis
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Serpiginous-like choroiditis
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Choroidal granuloma
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Detailed explanation-1: -The most common presentation is posterior uveitis. The most typical lesions related to ocular TB are choroidal granulomas, occlusive retinal vasculitis, and multifocal serpiginous-like choroiditis.
Detailed explanation-2: -In conclusion, serpiginous like choroiditis is a rare immune-mediated condition triggered by tuberculosis with deleterious complications for the eye. Early, aggressive treatment with multiple anti-TB antibiotics and multiple immunosuppressive agents can stop the evolution and preserve vision.
Detailed explanation-3: -Typical presentation is acute with fever, cough and localized pleuritic chest pain. It may follow recent primary infection or result from reactivation. If part of primary infection, the effusion may be self-limiting.
Detailed explanation-4: -A choroidal mass or granuloma is a feature of ocular tuberculosis (TB). Tubercles can arise in the early stages of progression of TB and indicate hematogenous dissemination before the development of symptomatic disease.
Detailed explanation-5: -Ocular TB can involve any part of the eye and can occur with or without evidence of systemic TB. It generally develops following hematogenous spread from a primary focus but, in rare cases, it can also occur as a primary infection following an epithelial injury.