alexa Mycobacterium tuberculosis presenting as chronic red eye.


Journal of Medical & Surgical Pathology

Author(s): Jennings A, Bilous M, Asimakis P, Maloof AJ

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Abstract PURPOSE: To report a case of tuberculosis of the conjunctiva. METHODS: Case report with pathologic correlation. A 17-year-old man who had relocated to Australia from Liberia presented with chronic unilateral conjunctivitis. RESULTS: The diagnosis was not initially evident, despite 2 separate biopsy specimens, conjunctival cultures, and polymerase chain reaction testing. Definitive diagnosis was made after repeated histologic examination. Antituberculous treatment resulted in prompt resolution of all ocular signs. CONCLUSION: Tuberculous conjunctivitis is now a very rare condition in the developed world. Definitive diagnosis requires the identification of Mycobacterium tuberculosis organisms in conjunctival biopsy specimens-either through microscopic detection of acid-fast bacilli or more sensitive culture techniques. This article was published in Cornea and referenced in Journal of Medical & Surgical Pathology

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