Mycobacterium tuberculosis-Associated Serpiginous-Like Choroiditis Mimicking Central Serous Chorioretinopathy: A Case Report

We report a case of a 40-year-old man with no comorbidities who presented with progressive vision loss in the right eye. Fundoscopy revealed peripapillary and posterior pole serpiginous-like lesions without overt vitritis. The central optical coherence tomography revealed subretinal fluid consistent with central serous chorioretinopathy, prompting treatment with spironolactone 100 mg daily for two months, which did not improve the condition. In the meantime, a positive tuberculin skin test indicated Mycobacterium tuberculosis infection, and a diagnosis of tuberculosis serpiginous-like choroiditis was assumed, leading to the initiation of specific antitubercular therapy with progressive improvement.