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Solitary choroidal tuberculoma in a patient with chest wall tuberculosis

Tuberculosis has re-emerged as a serious public health problem in industrialised countries.1 There are several explanations for the increased incidence but it is mainly due to an increase in immunocompromised hosts such as those who are older or with malignancies, those with AIDS, those who are immunosuppressed after transplantation, and the malnourished. However, a choroidal tuberculoma is rare except in cases with human immunodeficiency virus (HIV) infection.2,3 We present a case of choroidal tuberculoma in an immunocompetent patient with an extrapulmonary tuberculoma in the chest wall, which is also rare.4,5

A 34 year old Filipina woman, who was in good health, complained of a pain in her right lateral chest. Computed tomography scan showed a well defined mass measuring 4 × 4 cm (Fig 1). Cultures of fluid aspirated from the mass showed acid fast bacteria. Polymerase chain reaction demonstrated Mycobacterium …