| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 513-515 |
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Latent Mycobacterial fortuitum infection presenting as ocular sarcoidosis
Kalpana Babu1, Preethi Hegde1, Suma P Kumar2
1 Department of Uvea and Ocular Inflammation, Prabha Eye Clinic and Research Centre and Vittala International Institute of Ophthalmology, Bengaluru, Karnataka, India
2 Department of Respiratory Medicine, Excel Care Hospitals, Bengaluru, Karnataka, India
Correspondence Address:
Kalpana Babu
504, 40th Cross, Jayanagar 8th Block, Bengaluru - 560 070, Karnataka
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1370_22
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A 62-year-old lady presented with bilateral granulomatous uveitis and cystoid macular edema. A diagnosis of ocular sarcoidosis was made (revised International Workshop on Ocular Sarcoidosis [IWOS] criteria) on the basis of lymphopenia, negative Mantoux, and QuantiFERON TB gold tests. Enlarged mediastinal lymph nodes, subpleural nodules, and nodular interstitial thickening were seen on high-resolution computed tomography (HRCT) thorax. Non-necrotizing granulomato us inflammation, negative for mycobacteria on staining and GeneXpert, was noted on endobronchial ultrasound-guided transbronchial lymph node aspiration (EBUS-TBNA). However, culture grew Mycobacterium fortuitum after 3 weeks. This case highlights a rare presentation of latent M. fortuitum infection presenting as ocular sarcoidosis, speculating the coexistence of two diseases in an individual, one possibly triggering the other.
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