A Case of Recurrent Scleritis That Led to the Diagnosis of Tuberculosis

Tuberculosis caused by a bacterium called Mycobacterium tuberculosis, usually attack the lungs but can also affect other parts such as kidney, spine, eyes and brain. Here is 26 years old female patient that presented with pain and redness in both eyes and was a known case of recurrent scleritis for 3 years. On examination, there was endothelitis, anterior chamber inflammation with R/E and scleral thinning with KPs in L/E. On investigations, Mantoux test was highly positive, ESR was raised and cANCA and pANCA were negative. CECT chest was suggestive of granulomatous infection in upper and lower lobe of right lung. Based on clinical findings and investigations a diagnosis of tuberculosis was made and patient was started on ATT after which the patient improved significantly.