Mallika Goyal, MD » Tubercular granuloma in immunocompetent

Oct 25 2012 by Mallika Goyal, MD

Fundus photograph of the right eye of a 26-year-old gentleman presenting with submacular abscess. A diagnosis of endogenous endophthalmitis was made and he was placed on oral levofloxacin. Vitreous tap was negative on microbiology exam; intravitreal vancomycin and ceftazidime were injected. There was initial response but appearance of several new choroidal granulomas in the midperiphery after 3 weeks. Antitubercular therapy was then initiated.

Condition/keywords: tubercular choroidal granuloma

Oct 25 2012 by Mallika Goyal, MD

Fundus photograph of the right eye of a 26-year-old gentleman 10 days after initiating oral levofloxacin and administering intravitreal antibiotics for central choroidal granulomas.

Condition/keywords: tubercular choroidal granuloma

Oct 25 2012 by Mallika Goyal, MD

Fundus photograph of the right eye of a 26-year-old gentleman showing multiple tubercular granulomas 4 weeks after central lesions were resolving on oral levofloxacin. Quantiferon TB Gold test returned positive at this time and antitubercular therapy was initiated.

Condition/keywords: tubercular choroidal granuloma

Oct 25 2012 by Mallika Goyal, MD

Fundus photograph of the right eye of a 26-year-old gentleman 4 weeks after initiating antitubercular therapy. Appearance of a new active lesion even as other choroidal lesions are resolving. This is common and not to be construed as a sign of inadequacy of therapy; the lesion resolved with scarring over the next 3 weeks as antitubercular therapy was continued.

Condition/keywords: lesion