Skip to main content

Advertisement

SpringerLink
Log in

Good visual outcome of tuberculous chorioretinitis after ART initiation in a HIV-infected patient

  • Photo Essay
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Schaftenaar E, van Gorp ECM, Meenken C et al (2014) Ocular infections in sub-Saharan Africa in the context of high HIV prevalence. Trop Med Int Health. doi:10.1111/tmi.12350

    PubMed  Google Scholar 

  2. Basu S, Monira S, Modi RR et al (2014) Degree, duration, and causes of visual impairment in eyes affected with ocular tuberculosis. J Ophthalmic Inflamm Infect 4:3. doi:10.1186/1869-5760-4-3

    Article  PubMed Central  PubMed  Google Scholar 

  3. Thompson MJ, Albert DM (2005) Ocular tuberculosis. Arch Ophthalmol 123:844–849

    Article  PubMed  Google Scholar 

  4. Otiti-Sengeri J, Meenken C, van den Horn GJ, Kempen JH (2008) Ocular immune reconstitution inflammatory syndromes. Curr Opin HIV AIDS 3:432–437. doi:10.1097/COH.0b013e328302cc3d

    Article  PubMed  Google Scholar 

  5. Lawn SD, Myer L, Bekker LG, Wood R (2007) Tuberculosis-associated immune reconstitution disease: incidence, risk factors and impact in an antiretroviral treatment service in South Africa. AIDS 21:335–341

    Article  PubMed  Google Scholar 

  6. Abu El-Asrar AM, Al-Mezaine HS (2010) Anti-tuberculous therapy combined with systemic corticosteroids improves retinal sensitivity in patients with active presumed tuberculous choroiditis. Int Ophthalmol 30:567–576. doi:10.1007/s10792-010-9371-2

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

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.

Ethical standards

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.

Author information

Authors and Affiliations

  1. Rotterdam Eye Hospital, Rotterdam, The Netherlands

    Erik Schaftenaar & G. Seerp Baarsma

  2. Department of Viroscience, Erasmus MC, Rotterdam, The Netherlands

    Erik Schaftenaar & Georges M. G. M. Verjans

  3. Anova Health Institute, Johannesburg and Tzaneen, South Africa

    Erik Schaftenaar & Remco P. H. Peters

  4. Department of Ophthalmology, VU University Medical Center, Amsterdam, The Netherlands

    Christina Meenken

Authors
  1. Erik Schaftenaar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Christina Meenken
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Seerp Baarsma
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Georges M. G. M. Verjans
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Remco P. H. Peters
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Erik Schaftenaar.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Schaftenaar, E., Meenken, C., Baarsma, G.S. et al. Good visual outcome of tuberculous chorioretinitis after ART initiation in a HIV-infected patient. Int Ophthalmol 34, 1263–1265 (2014). https://doi.org/10.1007/s10792-014-9997-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-014-9997-6

Keywords

Search

Navigation