Topics:
Infectious Disease • Tuberculosis
How do you approach a patient who has anterior uveitis and is referred for evaluation of ocular TB with a positive Quantiferon gold (as part of their workup) in countries with low TB incidence?
Answer from: at Academic Institution
This is an increasing problem in the US, and very frustrating, as most of the time there is a plan to start high-dose steroids for the uveitis. We have more cases of ocular TB now diagnosed than any other form of X-pulm TB in our area.
After a good history rules out TB risk factors, and the exam an...
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Answer from: at Academic Institution
It is a frustrating problem and is expected to increase without solid evidence. Until then, management should involve an interdisciplinary collaborative approach and a shared decision-making process.I see the following issues.
I feel ophthalmologists follow the diagnostic criteria for TB uvei...