Korean J Nephrol.
2009 Nov;28(6):663-666.
Tuberculous Uveitis in a Hemodialysis Patient
- Affiliations
-
- 1Department of Family Medicine, Nam Won Hospital, Nam Won, Korea.
- 2Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. baedak@hanmail.net
- 3Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea.
- 4Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
Abstract
- Tuberculous uveitis is a rare manifestation of tuberculosis infection. Although early diagnosis is important to saving the sight of patients, it is difficult. In dialysis patient, the diagnosis of tuberculosis is often delayed because of non-specific symptoms and extrapulmonary involvements. We report a case involving a 37-year-old man receiving hemodialysis who was presented with persistent fever and left- sided blurred vision. At ophthalmic examination, active papillitis, vitritis, and peripapillary retinal detachment were observed. Neck computed tomography showed multiple necrotic lymphadenopathies (LAPs) in right lateral neck, which was proven as tuberculous lymphadenitis on histological examination. After anti-tuberculosis therapy, fever was subsided and LAPs were improved. Visual acuity was also improved.
