Choroidal Tubercles

Abstract

Article1 February 1964Choroidal TuberclesA Clue to Hematogenous TuberculosisDONALD MASSARO, M.D., SOL KATZ, M.D., MURRAY SACHS, M.D.DONALD MASSARO, M.D.Search for more papers by this author, SOL KATZ, M.D.Search for more papers by this author, MURRAY SACHS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-2-231 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSeveral recent papers lend support to what many clinicians realize, namely, that hematogenous tuberculosis remains a serious problem in regard to morbidity and mortality. Thus, in Chapman and Whorton's (1) autopsy series of 63 cases of miliary tuberculosis a correct antemortem diagnosis was made in only 25 per cent of the cases. Treip and Meyers (2), writing about a 5-year experience, reported the antemortem diagnosis of disseminated tuberculosis in a similar percentage of patients dying of this disease. Böttiger and coworkers (3-4) published several cases of disseminated tuberculosis with essentially negative chest films in whom the diagnosis was not made...References1. CHAPMANWHORTON CBCM: Acute generalized miliary tuberculosis in adults. New Eng. J. Med. 235: 239, 1946. CrossrefMedlineGoogle Scholar2. TREIPMEYERS CD: Fatal tuberculosis in a general hospital a diagnostic problem. Lancet 1: 164, 1959. CrossrefMedlineGoogle Scholar3. BÖTTIGERNORDENSTAM LEHH: Miliary tuberculosis—a forgotten diagnosis. Nord. Med. 66: 1719, 61. MedlineGoogle Scholar4. BÖTTIGERNORDENSTAMWESTER LEHHPO: Disseminated tuberculosis as a cause of fever of obscure origin. Lancet 1: 19, 1962. CrossrefMedlineGoogle Scholar5. PETERSDORFBEESON RGP: Fever of undetermined origin. Medicine 40: 1, 1961. CrossrefMedlineGoogle Scholar6. 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Ophthal. 34: 303, 1950. CrossrefMedlineGoogle Scholar36. GARTNER S: Ocular pathology of diabetes. Amer. J. Ophthal. 33: 727, 1950. CrossrefMedlineGoogle Scholar37. KANTAR BL: Diabetic retinopathy. Bull. Univ. Minnesota Hosp. 21: 352, 1950. Google Scholar38. KENNEDYKRICHBAUM RJFM: Ocular fundus findings in 133 cases of diabetes mellitus. Cleveland Clin. Quart. 18: 134, 1951 CrossrefGoogle Scholar39. ELWYN H: Diabetic retinitis. Arch. Ophthal (Chicago) 34: 187, 1945. CrossrefMedlineGoogle Scholar40. WHITTINGTON TH: Discussion on diabetic retinopathy. Proc. Roy. Soc. Med. 44: 753, 1951. Google Scholar41. LARSEN H: Diabetic retinopathy. Acta Opthal. (København) Supp. 60: 1, 1960. MedlineGoogle Scholar42. BEDELL AJ: Diseases of the fundus and optic nerve. Trans. Ophth. Soc. UK 59: 219, 1939. Google Scholar43. LEINFELDER PJ: The retina in the diagnosis of general diseases. Int. Ophthal. Clin. 2: 77, 1962. CrossrefMedlineGoogle Scholar44. WOODS AC: Pathogenesis and treatment of ocular tuberculosis. Arch. Ophthal. (Chicago) 52: 174, 1954. CrossrefMedlineGoogle Scholar45. WOODS AC: Endogenous Inflammation of the Uveal Tract, Williams and Wilkins, Baltimore, 1961. Google Scholar46. MARPLE WB (In discussion of paper by F. Tooke) Trans. Amer. Ophthal. Soc. 14: 218, 1915-1916. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.From the Pulmonary Disease Service, Veterans Administration Hospital, Washington, D. C. and the Department of Medicine, Georgetown University School of Medicine, Washington, D. C.This paper was presented in part at the Forty-fourth Annual Session of the American College of Physicians, April 2, 1963, Denver, Colorado.Requests for reprints should be addressed to Donald Massaro, M.D., Veterans Administration Hospital, 2650 Wisconsin Avenue, N.W., Washington 7, D. C. 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