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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 9  |  Page : 1995-1997

Triple trouble: A case of retinochoroiditis in a patient with syphilis, tuberculosis, and human immunodeficiency virus infection


1 Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Sankara Nethralaya Referral Laboratory, Sankara Nethralaya, Chennai, Tamil Nadu, India
3 VHS Infectious Diseases Medical Center, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Parthopratim Dutta Majumder
Senior Consultant, Department of Uvea, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2170_19

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A 31-year-old male patient presented with sudden onset loss of vision in the left eye. Ocular examination revealed significant vitritis with chorioretinitis lesion in the posterior pole. Subsequent investigations revealed positive human immunodeficiency virus (HIV) and syphilis serology; chest imaging revealed active pulmonary tuberculosis. Polymerase chain reaction from aqueous aspirate was positive for Mycobacterium tuberculosis. There was complete resolution of the lesions following antisyphilitic medications, antitubercular therapy along with highly active antiretroviral therapy. Syphilis and tuberculosis coinfection in a previously unknown HIV patient is rare but can occur. It is worthwhile to look for multiple coinfections in HIV patients.


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