An Unusual Cause of Serpiginous-Like Choroiditis. Association With Urinary Mycobacterium Fortuitum Infection?

The purpose of these case reports is to present a case who developed bilateral serpiginous like choroiditis in association with urogenital infection of Mycobacterium Fortuitum. A 49-year-old female who presented with visual loss was diagnosed with bilateral serpiginous like choroiditis. Uveitis workup findings were negative except for a positive tuberculin skin test positivity. Considering the findings and her residence in an endemic area for m. tuberculosis, empirical treatment for tuberculosis was started. Later in the course of the disease, her urine cytology came back positive for ARB, and M. Fortuitum was isolated in the urine cultures. Treatment for atypical mycobacteria resulted in clinical improvement. No relapses of serpiginous like choroiditis occurred following the treatment. This is the first documented case of serpiginous choroiditis related to mycobacterium fortuitum infection in the literature. Non-tuberculous mycobacteria may also cause serpiginous like choroiditis. Keywords: Mycobacterium Fortuitum, Serpiginous-like choroiditis, Uveitis, Urinary tract infection