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Need for a holistic approach to treat TB contacts and extrapulmonary (ocular) tuberculosis
  1. Prabhakar Singh1,
  2. Abhishek Gupta2,
  3. Richa Gupta3 and
  4. Amit Raj4
  1. 1Department of Ophthalmology, Cornea and Anterior Segment, All India Institute of Medical Sciences, Patna, Bihar, India
  2. 2Vitreo-retina and Uvea services, Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India
  3. 3Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar, India
  4. 4Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India
  1. Correspondence to Dr Amit Raj; dramitraj{at}


We aim to highlight the ignorance and incidences of deliberate hiding of medical facts in society. The cause of it can be, the associated taboo with these diseases. The fear of social outcasts is the major barrier preventing diseased from accepting the diagnosis as well as treatment. Though the medical facility has improved significantly and has come up with a complete cure for these diseases, still these facilities are not able to trickle down to the lower socioeconomic group. The reason for facilities not reaching the lower socioeconomic strata is the self-made shield created by these people. The current case report tries to highlight the need to screen the family members and the contacts of patients with tuberculosis. The screening should be done holistically and thoroughly to rule out extrapulmonary pulmonary disease also.

  • ophthalmology
  • macula
  • tuberculosis

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  • Contributors AR monitored and supported the study. PS conceived the idea and wrote the paper. AG was the treating physician and RG helped in data retrieval and revision of the paper and also was the treating physician of the daughter of the index case. All authors have read and approved the manuscript

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.