Ocular tuberculosis associated with Epstein-Barr virus myelitis: A case report

Ocular tuberculosis (OTB) is a chronic eye infection caused by <i>Mycobacterium tuberculosis</i>. Some cases of myelitis are associated with <i>Epstein-Barr virus</i> (EBV), with 1-5% of EBV infections leading to neurologic complications. We describe a 34-year-old Iranian woman with OTB and EBV coinfection. Despite initial success with anti-TB agents, the disease progressed, necessitating enucleation. <i>Mycobacterium tuberculosis</i> was detected by a tuberculin coagulation test, and EBV was confirmed via polymerase chain reaction. MRI showed plaques in the spinal cord and brain. The patient was treated with anti-TB and antiretroviral agents. Recognizing TB in the differential diagnosis of EBV myelitis is crucial.