Tuberculous Uveitis in a Hemodialysis Patient

Korean Journal of Nephrology 2009;28(6):663-666.

Jung Won Cho, M.D.1, Seong Kwon Ma, M.D.2, Jae Kyoun Ahn, M.D.3, Sung Sun Kim, M.D.4, Chan Choi, M.D.4 and Eun Hui Bae, M.D.2

Departments of Family Medicine¹
Nam Won Hospital, Nam Won, Departments of Internal Medicine²
Ophthalmology3 and Pathology⁴
Chonnam National University Medical School, Gwangju, Korea

증례 : Tuberculous Uveitis in a Hemodialysis Patient

Jung Won Cho, M.D.1, Seong Kwon Ma, M.D.2, Jae Kyoun Ahn, M.D.3, Sung Sun Kim, M.D.4, Chan Choi, M.D.4 and Eun Hui Bae, M.D.2

Departments of Family Medicine1, Nam Won Hospital, Nam Won, Departments of Internal Medicine2, Ophthalmology3 and Pathology4, Chonnam National University Medical School, Gwangju, Korea

Abstract

Tuberculous uveitis is a rare manifestation of tuberculosis infection. Although early diagnosis is important to saving the sight of patients, it is difficult. In dialysis patient, the diagnosis of tuberculosis is often delayed because of non-specific symptoms and extrapulmonary involvements. We report a case involving a 37-year-old man receiving hemodialysis who was presented with persistent fever and left- sided blurred vision. At ophthalmic examination, active papillitis, vitritis, and peripapillary retinal detachment were observed. Neck computed tomography showed multiple necrotic lymphadenopathies (LAPs) in right lateral neck, which was proven as tuberculous lymphadenitis on histological examination. After anti-tuberculosis therapy, fever was subsided and LAPs were improved. Visual acuity was also improved.

Key Words: Tuberculosis, Uveitis, Hemodialysis