Role of antituberculous therapy in latent tuberculosis with ocular manifestations

M. Periyanayagi, Uma Velpandian, A. Mohankumar
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Abstract

Tuberculosis is an airborne infectious illness caused by Mycobacterium tuberculosis, and it is the most common cause of morbidity and mortality worldwide. Extra-pulmonary TB, often known as ocular tuberculosis, can occur alone or in conjunction with pulmonary tuberculosis. Tuberculosis of the eye can be caused by an active infection or a type 4 hypersensitivity reaction.Aim: To investigate the role of antituberculous therapy in the treatment of suspected intraocular tuberculosis. Based on a clinical diagnosis of Ocular tuberculosis, 46 patients were assessed with a chest X-ray, Mx test, and quantiferon gold assay and treated with ATT. The results showed that out of 46 patients, 29 were females and 17 were males. There were 34 patients with B/L involvement and 12 with U/L involvement. In addition, 76 percent of individuals tested positive for tuberculin on their skin, indicating latent tuberculosis. Quantiferon gold assay was positive in 19.56 percent of patients. On X-ray chest, 17.3% of patients had a healed old tuberculosis lesion. H/O contact with TB family members was reported in 13.04 percent of patients. All patients who had ATT therapy had a favourable outcome, with inflammation clearance and non-recurrence.
抗结核治疗在伴有眼部表现的潜伏肺结核中的作用
结核病是由结核分枝杆菌引起的一种空气传播传染病,是全球最常见的发病和死亡原因。肺外结核通常被称为眼结核,可单独发生,也可与肺结核同时发生。眼结核可由活动性感染或 4 型超敏反应引起。目的:探讨抗结核治疗在治疗疑似眼结核中的作用。根据眼结核的临床诊断,对 46 名患者进行了胸部 X 光检查、Mx 试验和定量金测定,并对其进行了抗结核治疗。结果显示,46 名患者中,女性 29 人,男性 17 人。有 34 名患者受 B/L 病毒感染,12 名患者受 U/L 病毒感染。此外,76%的患者皮肤结核菌素检测呈阳性,表明存在潜伏结核病。19.56%的患者定量金检测呈阳性。在胸部 X 光检查中,17.3% 的患者有已愈合的陈旧性结核病灶。据报告,13.04%的患者曾与肺结核家庭成员接触。所有接受过 ATT 治疗的患者均取得了良好的疗效,炎症清除且不再复发。
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