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Tubercular endophthalmitis simulating retinoblastoma

2000; Elsevier BV; Volume: 130; Issue: 6 Linguagem: Inglês

10.1016/s0002-9394(00)00646-2

1879-1891

Usha Kaul Raina, Deven Tuli, Ritu Arora, Dinesh Kumar Mehta, Mukesh Taneja,

Infectious Diseases and Tuberculosis

To report a case of tubercular endophthalmitis simulating retinoblastoma.Case report. An 8-year-old female presented with a history of complete loss of vision and a white pupillary reflex in the left eye of 3 month's duration.Retinoblastoma could not be excluded on the basis of clinical examination and relevant investigational studies. In the left eye, a computed tomography (CT) scan demonstrated a large vitreous mass with foci of calcification. Enucleation in the left eye was performed, and histopathological examination revealed a chronic granulomatous endophthalmitis and acid-fast bacilli consistent with tubercular pathology.This case illustrates that tubercular endophthalmitis with leukocoria and a vitreous mass containing focal calcification may simulate retinoblastoma.