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10.1186/s13256-017-1353-9

http://scihub22266oqcxt.onion/10.1186/s13256-017-1353-9
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C5496312!5496312!28673337
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suck abstract from ncbi


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pmid28673337      J+Med+Case+Rep 2017 ; 11 (ä): ä
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  • Rare presentation of intractable tuberculous panophthalmitis with intraocular and intraorbital abscesses: a case report #MMPMID28673337
  • Boonsopon S; Tesavibul N; Uiprasertkul M; Leeamornsiri S; Choopong P
  • J Med Case Rep 2017[]; 11 (ä): ä PMID28673337show ga
  • Background: We report a rare presentation of extrapulmonary tuberculosis. Case presentation: A 29-year-old Burmese woman with human immunodeficiency virus infection and known pulmonary tuberculosis who had been treated for 5 months presented to our hospital with unilateral progressive painful visual loss of 1 month?s duration. She was diagnosed with tuberculous panophthalmitis with subretinal and intraorbital abscesses, conjunctival abscess, and extraocular muscle tuberculoma. The diagnosis was confirmed by a conjunctival pus swab with a positive result for acid-fast bacilli and a positive result for a mycobacterial culture. There was high suspicion of multidrug-resistant tuberculosis. Despite receiving ongoing aggressive treatment with conventional antituberculous medications, this patient required subtotal orbital exenteration to control her infection and prevent further progression. Second-line antituberculous medications were added to the first-line therapy, with satisfactory results achieved. Conclusions: Tuberculous panophthalmitis with intraocular and intraorbital abscesses is a rare presentation of extrapulmonary tuberculosis. Patients who do not respond to first-line antituberculous therapy might be infected with either single-drug or multidrug-resistant Mycobacterium tuberculosis. Patient compliance is one of the key factors that can alter the course of treatment. Careful patient monitoring can improve disease progression, outcome, and prognosis.
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