Successful treatment of tubercular multifocal serpiginous-like choroiditis without use of anti-inflammatory drugs: A case report with multimodal imaging

Purpose: to report the successful management of a case of tuberculosis (tb) related multifocal serpiginous-like choroiditis with anti-tb medications alone. methods: a case report with multimodal imaging. results: a 28-year-old man presented with progressive loss of vision in his left eye. he mentioned a similar history for his right eye about 2 years earlier. fundus examination showed multiple discrete greyish irregularly bordered lesions in both eyes. based on a highly positive skin tuberculin test and exclusion of other possible causes, a diagnosis of presumed tb associated multifocal serpiginous-like choroiditis was made, and quadruple classic anti-tb therapy was initiated. one year after introduction of anti-tb treatment, active lesions turned into scars, with significant improvement of vision. conclusion: anti-tb therapy may be enough as the only necessary treatment for tb related serpiginous-like choroiditis.