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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Diagnosis and treatment of tuberculous uveitis in a low endemic setting
International Journal of Infectious Diseases, Volume 17, No. 11, Year 2013
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Description
Objective: To determine factors associated with the diagnosis of tuberculous veitis and the response to anti-tuberculous treatment (ATT). Methods: A retrospective case study was performed at the University Medical Centre Utrecht between October 2007 and December 2009. Patients with possible tuberculous uveitis (TBU) were selected from all patients with an unexplained uveitis. Demographics, ethnicity, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), tuberculin skin test (TST), QuantiFERON (QFT) test, and ocular findings were evaluated. An interdisciplinary panel discussed if there was a presumed TBU and decided to start treatment. When there was a decrease in intraocular cell count and/or improvement in visual acuity after ATT, the confirmation of presumed TBU was made. Results: Of 585 patients with unexplained uveitis, 66 (11.3%) fulfilled the definition of possible TBU. Ten (15.4%) patients were regarded as having presumed TBU and received ATT. All of them had latent tuberculosis (LTB). The ocular situation improved in seven patients (70%). A history of TB contact, abnormalities on chest radiology, and extraocular manifestations of TB were associated with a good response to ATT in the case of presumed tuberculous uveitis. Conclusions: Tuberculous uveitis remains difficult to diagnose. No clearly correlating factors that predicted the response to ATT, including ocular parameters, could be identified. © 2013 International Society for Infectious Diseases.
Authors & Co-Authors
Vos, Alinda G.
Netherlands, Utrecht
University Medical Center Utrecht
Wassenberg, Marjan W.M.
Netherlands, Utrecht
University Medical Center Utrecht
Statistics
Citations: 35
Authors: 2
Affiliations: 2
Identifiers
Doi:
10.1016/j.ijid.2013.03.019
ISSN:
12019712
Research Areas
Infectious Diseases
Study Design
Cohort Study
Case Study
Study Approach
Qualitative