Ocular tuberculosis (OTB) is a chronic eye infection caused by Mycobacterium tuberculosis. Some cases of myelitis are associated with Epstein-Barr virus (EBV), with 1-5% of EBV infections leading to neurologic complications. We describe a 34-year-old Iranian woman with OTB and EBV coinfection. Despite initial success with anti-TB agents, the disease progressed, necessitating enucleation. Mycobacterium tuberculosis was detected by a tuberculin coagulation test, and EBV was confirmed via polymerase chain reaction. MRI showed plaques in the spinal cord and brain. The patient was treated with anti-TB and antiretroviral agents. Recognizing TB in the differential diagnosis of EBV myelitis is crucial.
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Department of Medicine, St Luke's-Roosevelt Hospital Center, New York, NYDepartment of Medicine, St Luke's-Roosevelt Hospital Center, New York, NY
Albany C.
Psevdos G.
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Division of Infectious Disease, St Luke's-Roosevelt Columbia University, College of Physicians and Surgeons, New York, NY
Center of Comprehensive Care, St Luke's-Roosevelt Hospital, New York, NY 10019Department of Medicine, St Luke's-Roosevelt Hospital Center, New York, NY
Psevdos G.
Balderacchi J.
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Department of Pathology, St Luke's-Roosevelt Hospital Center, New York, NYDepartment of Medicine, St Luke's-Roosevelt Hospital Center, New York, NY
Balderacchi J.
Sharp V.L.
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Center of Comprehensive Care, St Luke's-Roosevelt Hospital, New York, NY 10019Department of Medicine, St Luke's-Roosevelt Hospital Center, New York, NY