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Neuromyelitis optica spectrum disorder and active tuberculosis

2020; BMJ; Volume: 13; Issue: 1 Linguagem: Inglês

10.1136/bcr-2019-231524

1757-790X

James Kerr Grieve, Scott Day, David Connell, J O’Riordan,

Drug-Induced Ocular Toxicity

Tuberculosis is on the rise again. It brings with it potential for neurological involvement both as a direct infection and as a parainfectious process. Accordingly we report the development of neurological problems affecting a 48-year-old patient's vision and sensation while being treated for active tuberculosis. At its nadir her vision deteriorated to nil perception of light and she had a sensory level to T10. Neuromyelitis optica spectrum disorder was diagnosed. We discuss our management strategy with neuromodulation in the context of active tuberculosis infection.