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    Jan 17, 2021
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    Eye Examination for Early Diagnosis of Disseminated Tuberculosis in Patients with AIDS

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    Name:
    Heiden et al - 2016 - Eye ...
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    Authors
    Heiden, D
    Saranchuk, P
    Keenan, JbD
    Ford, N
    Lowinger, A
    Yen, M
    McCune, J
    Rao, N A
    Issue Date
    2016-02-18
    
    Metadata
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    Journal
    Lancet Infectious Diseases
    Abstract
    Choroidal tuberculosis is present in 5-20% of patients with disseminated tuberculosis, and point-of-care dilated binocular indirect ophthalmoscopy eye examination can provide immediate diagnosis. In geographical areas of high tuberculosis prevalence and in susceptible patients (CD4 counts less than 200 cells per μL) detection of choroidal granulomas should be accepted as evidence of disseminated tuberculosis. With training and proper support, eye screening can be done by HIV/AIDS clinicians, allowing early tuberculosis treatment. In regions with a high burden of tuberculosis, we recommend that eye screening be a standard part of the initial assessment of susceptible patients, including at a minimum all patients with HIV/AIDS with CD4 less than 100 cells per μL with or without eye symptoms, and with or without suspicion of disseminated tuberculosis.
    Publisher
    Elsevier
    URI
    http://hdl.handle.net/10144/601277
    DOI
    10.1016/S1473-3099(15)00269-8
    PubMed ID
    26907735
    Type
    Article
    Language
    en
    ISSN
    1474-4457
    ae974a485f413a2113503eed53cd6c53
    10.1016/S1473-3099(15)00269-8
    Scopus Count
    Collections
    TB

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