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Waxing-Waning Visual Symptoms: Masquerading Multiple Sclerosis and Delaying the Diagnosis of Concomitant Ocular and Cerebral Tuberculosis

Baisakhiya, Shikha DO*; Agrawal, Amit MCh†; Cincu, Rafael PhD‡

Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3181b7fb0c
Case Reports
Abstract

Abstract: Tuberculosis, although rare, is one of the most common causes of infective uveitis in developing countries. We report a case of a young man with concomitant ocular and cerebral tuberculosis presented with waxing-waning of visual symptoms, initially mistaken as multiple sclerosis that delayed the diagnosis of the disease. This case shows the diagnostic difficulties when there are no history of tuberculosis and waxing and waning of symptoms. With the reemergence of tuberculosis, treating physicians should be aware that concomitant ocular and cerebral tuberculosis can occur even in immunocompetent individuals and early recognition of the disease is mandatory to avoid permanent deficits.

Author Information

From the Departments of *Ophthalmology and †Neurosurgery, Datta Meghe Institute of Medical Sciences, Wardha, India and ‡Department of Neurosurgery, Miguel Servet University Hospital, Zaragoza, Spain.

The authors have no funding or conflicts of interest to disclose.

Reprints: Amit Agrawal, MCh, Department of Neurosurgery, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha 442004, Maharashtra, India. E-mail: dramitagrawal@gmail.com.

© 2010 Lippincott Williams & Wilkins, Inc.