Teen's sore eyes refuse to heal, docs find it's drug-resistant TB

MUMBAI: When Nerul teen Rani's (name changed) `sore eyes' didn't heal for over 15 days, little did her parents imagine that multi-drug resistant tuberculosis (MDR TB) might be the cause. Rani didn't have any of the indicators associated with TB--coughing, breathlessness or loss of weight--except for some darkish purple lesions in each her eyes, stated her parents.

"We thought it was a stubborn case of sore eyes," her father instructed TOI. But when eye surgeon Dr P Suresh examined Rani's eyes in Fortis Hospital, Mulund, he felt that wasn't the case. "It didn't seem like a sore eyes symptom. I thought it could be an associated condition to, say , pneumo nia as there have been cases reported in medical literature of pneumonia affecting the eye," he stated. Rani underwent an X-Ray scan that confirmed a lesion in her chest.

The 15-year-old lady, who's in Class XI, used to be referred to infectious diseases specialist Dr Anita Mathew. "We put her through blood tests and a CT scan that confirmed she had MDR TB. A rapid test cal led GeneXpert confirmed that she had MDR TB," stated Dr Mathew, adding that this used to be a rare case in which an eye symptom resulted in a diagnosis of TB.


TB has re-emerged as probably the most greatest public health demanding situations in India, claiming three lakh lives annually or one existence every two mins. Mumbai is known as the epicentre of the fatal drug-re sistant TB in which sufferers show resistance to 2 or extra recognized anti-TB medicine; remedy involves newer antibiotics that are pricey.


"We couldn't afford the two-year-long treatment that runs into Rs 2 lakh or more, so Dr Mathew referred us to a government centre for free medicines," stated Rani's mother."She has to take daily injections for six months as a part of the treatment, but they are painful," she added.


An eye specialist with a government clinic stated the attention symptom might be an "immunological response to TB". Dr Suresh added that the "dramatic presentation" might be because MDR TB is extra virulent.


Chest specialist Dr Yatin Dholakia, alternatively, stated that eye involvement in TB is not uncommon. "Even eye TB is common these days. Involvement of the eye in chest TB is seen and can be resolved easily with steroidal treatment," he added.
Teen's sore eyes refuse to heal, docs find it's drug-resistant TB Teen's sore eyes refuse to heal, docs find it's drug-resistant TB Reviewed by Kailash on October 22, 2017 Rating: 5
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