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. 1992 Mar;76(3):175–176. doi: 10.1136/bjo.76.3.175

Tuberculous keratoconjunctivitis.

W A Aclimandos 1, M Kerr-Muir 1
PMCID: PMC504201  PMID: 1540566

Abstract

A 15-year-old West Indian boy had a left keratoconjunctivitis (KC) initially thought to be allergic in origin. He then developed a facial vesicular skin rash and a diagnosis of herpes simplex was suspected. Viral cultures were negative and there was a poor response to topical antiviral treatment. The KC progressed and became bilateral causing considerable reduction in the visual acuities. He complained of general fatigue and was pyrexial with generalised non-tender lymphadenopathy. There was a shadow in the upper lobe of the right lung. The bronchus was semioccluded by a non-caseating granuloma but no acid fast bacilli were found in the sputum or bronchial washings. In the presence of a strongly positive Heaf test, anti-tuberculous treatment was instituted which led to rapid resolution of all the systemic and ocular signs.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abrams J., Schlaegel T. F., Jr The role of the isoniazid therapeutic test in tuberculous uveitis. Am J Ophthalmol. 1982 Oct;94(4):511–515. doi: 10.1016/0002-9394(82)90245-8. [DOI] [PubMed] [Google Scholar]
  2. De Buitléir M., Fitzgerald M. X. The changing profile of tuberculosis in a general teaching hospital--a five-year review of 121 cases. Ir Med J. 1982 Nov;75(11):390-6, 398-9. [PubMed] [Google Scholar]
  3. Guillet J. L., Salmon R. J., Durand J. C., Pilleron J. P. Mammary tuberculosis. Lancet. 1982 Jul 17;2(8290):166–166. doi: 10.1016/s0140-6736(82)91140-0. [DOI] [PubMed] [Google Scholar]
  4. Gur S., Silverstone B. Z., Zylberman R., Berson D. Chorioretinitis and extrapulmonary tuberculosis. Ann Ophthalmol. 1987 Mar;19(3):112–115. [PubMed] [Google Scholar]
  5. Mallinson W. J., Fuller R. W., Levison D. A., Baker L. R., Cattell W. R. Diffuse interstitial renal tuberculosis--an unusual cause of renal failure. Q J Med. 1981 Spring;50(198):137–148. [PubMed] [Google Scholar]
  6. Pitchenik A. E., Fischl M. A., Dickinson G. M., Becker D. M., Fournier A. M., O'Connell M. T., Colton R. M., Spira T. J. Opportunistic infections and Kaposi's sarcoma among Haitians: evidence of a new acquired immunodeficiency state. Ann Intern Med. 1983 Mar;98(3):277–284. doi: 10.7326/0003-4819-98-3-277. [DOI] [PubMed] [Google Scholar]
  7. Rao P. N., Bhat K. S. Active systemic lesions in cases of suspected ocular tuberculosis. J All India Ophthalmol Soc. 1967 Oct;15(5):175–180. [PubMed] [Google Scholar]
  8. Rovira M., Romero F., Torrent O., Ibarra B. Study of tuberculous meningitis by CT. Neuroradiology. 1980 Apr;19(3):137–141. doi: 10.1007/BF00342388. [DOI] [PubMed] [Google Scholar]
  9. Saini J. S., Mukherjee A. K., Nadkarni N. Primary tuberculosis of the retina. Br J Ophthalmol. 1986 Jul;70(7):533–535. doi: 10.1136/bjo.70.7.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Smith A. M. Abdominal tuberculosis in Britain. Br Med J. 1977 Jul 23;2(6081):263–264. doi: 10.1136/bmj.2.6081.263-b. [DOI] [PMC free article] [PubMed] [Google Scholar]

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