5-year-old boy with high-grade, intermittent fever, weight loss, and episodic nonprojectile vomiting*
A 5-year-old boy presented with intermittent fever, weight loss, and episodic vomiting for the past 2 months associated with pallor, cervical lymphadenopathy, tachypnea.
Meningismus, miliary pattern were seen in the chest radiograph, and ring-enhancing lesions in cerebral and cerebellar hemispheres.
Cerebrospinal fluid analysis showed 140 cells (70% polymorphonuclear cells), glucose 26 mg/dL (blood glucose 96 mg/dL), protein 48 mg/dl, absence of mycobacteria on acid-fast stain, culture, and gene Xpert. Fundus showed small, yellowish-white, active choroiditis lesions as well as healed choroiditis scars in the left eye.
WHAT IS THE MOST LIKELY DIAGNOSIS?
A. Cytomegalovirus chorioretinitis
B. Roth spots
C. Tuberculous choroiditis
D. Cotton wool spots
Answer to be disclosed shortly!!
*The present case appears in the Journal of Pediatrics