Delhi Journal of Ophthalmology

Multisystem Tuberculosis - Total Ophthalmoplegia as an Initial Presentation

Karishma Goyal, Sandeep Parwal, Kamlesh Khilnani
Department of Ophthalmology, SMS Medical College, Jaipur, Rajasthan, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Karishma Goyal
MS, DNB
B-21, Vaishali Nagar, 
Jaipur, Rajasthan - 302021
India
Email id: drkarishma54@gmail.com


Published Online: 31-JAN-2019
DOI: https://dx.doi.org/10.7869/djo.429

Abstract
Caseating granulomas are the pathological hallmark of tuberculosis and the causative organism is Mycobacterium Tuberculosis. We report a subject who presented initially with total ophthalmoplegia and choroiditis. Imaging showed vascular infarcts in brain and Pott’s spine. This specific case highlights the involvement of three different extrapulmonary systems without obvious pulmonary tuberculosis. A detailed examination should be done for each and every complaint of a patient having a suspicion of tuberculosis, to aid in early diagnosis of the disease.

Keywords :Total ophthalmoplegia, Vascular infarcts, Pott’s spine