Case reports in ophthalmology · 2026
Recurrent Episcleritis Revealing Pulmonary Tuberculosis in an Adolescent: A Case Report and Literature Review.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Taghi Ali, Tourjoman Elham, Alayyoubi Aya, Alhamid Ahmad, Alnabhan Nabhan, Zein Ahmad, Atia Mohammad, Touma Taghreed
Аннотация
INTRODUCTION: Tuberculosis (TB) can affect the eye through direct infection or immune mechanisms. While ocular TB most often presents as uveitis or scleritis, episcleritis is an uncommon manifestation and can be mistaken for an idiopathic or autoimmune disease.
CASE PRESENTATIONS: A 17-year-old female patient presented at our hospital with recurrent episcleritis. The first two flare-ups were mild and responded well to conservative treatment; therefore, no further investigation was pursued at the time. However, during the third episode, routine baseline workup revealed a mildly elevated erythrocyte sedimentation rate with a normal chest radiograph (CXR). Given recurrence and a presumed immune-mediated process, she received topical steroids and low-dose methotrexate. Weeks later, she began experiencing fever and a persistent cough. On repeat CXR showed new left upper-lobe changes prompting computed tomography that revealed cavitary lesions. Bronchoalveolar lavage confirmed Mycobacterium tuberculosis. She was promptly switched to standard anti-tubercular therapy showing systemic improvement, and without exhibiting additional episcleritis episodes.
CONCLUSION: In TB-endemic settings, recurrent episcleritis warrants evaluation for TB before initiating or escalating immunosuppression. New systemic symptoms should prompt repeat chest imaging and microbiologic testing.
CASE PRESENTATIONS: A 17-year-old female patient presented at our hospital with recurrent episcleritis. The first two flare-ups were mild and responded well to conservative treatment; therefore, no further investigation was pursued at the time. However, during the third episode, routine baseline workup revealed a mildly elevated erythrocyte sedimentation rate with a normal chest radiograph (CXR). Given recurrence and a presumed immune-mediated process, she received topical steroids and low-dose methotrexate. Weeks later, she began experiencing fever and a persistent cough. On repeat CXR showed new left upper-lobe changes prompting computed tomography that revealed cavitary lesions. Bronchoalveolar lavage confirmed Mycobacterium tuberculosis. She was promptly switched to standard anti-tubercular therapy showing systemic improvement, and without exhibiting additional episcleritis episodes.
CONCLUSION: In TB-endemic settings, recurrent episcleritis warrants evaluation for TB before initiating or escalating immunosuppression. New systemic symptoms should prompt repeat chest imaging and microbiologic testing.