Good visual outcome of tuberculous chorioretinitis after ART initiation in a HIV-infected patient
Mycobacterium tuberculosis infection is an important cause of sight-threatening chorioretinitis in HIV-infected individuals living in M. tuberculosis endemic areas. We present a case of tuberculous chorioretinitis in a HIV-infected man after recent initiation of antiretroviral therapy in rural South Africa, who had nearly complete resolution of clinical signs and symptoms after standard tuberculosis treatment. His presentation was most likely associated with immune reconstitution inflammatory syndrome.
KeywordsMycobacterium tuberculosis Tuberculous chorioretinitis HIV Immune reconstitution inflammatory syndrome South Africa
This study was in part funded by the “Rotterdamse Stichting Blindenbelangen” and the “Rotterdam Global Health Initiative”. We thank Gerard de Graaf and Fabienne Wink from the Rotterdam Eye Hospital (Rotterdam, The Netherlands) for refining the pictures included in this manuscript.
Conflict of interest
The authors declare that they have no conflict of interest.
This study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The person described in this study gave informed consent for publication of this study. Details that might disclose the identity of the subject under study have been omitted.