Primary Orbital Tuberculosis with Cold Abscess: A Case Report
Orbital tuberculosis is a rare form of extrapulmonary tuberculosis involving orbital soft tissue, periosteum, bones and lacrimal glands. This is a case report of a 6-year-old male child who presented with swelling of the right upper eyelid. He had normal visual acuity without signs of diplopia or o...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2024-02-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | http://www.jnma.com.np/jnma/index.php/jnma/article/view/8441 |
| _version_ | 1797267144104214528 |
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| author | Sanam Dhakal Sulochana Neupane Prerna Arjyal Kafle Badri Prasad Badhu Santosh Upadhyaya Kafle |
| author_facet | Sanam Dhakal Sulochana Neupane Prerna Arjyal Kafle Badri Prasad Badhu Santosh Upadhyaya Kafle |
| author_sort | Sanam Dhakal |
| collection | DOAJ |
| description |
Orbital tuberculosis is a rare form of extrapulmonary tuberculosis involving orbital soft tissue, periosteum, bones and lacrimal glands. This is a case report of a 6-year-old male child who presented with swelling of the right upper eyelid. He had normal visual acuity without signs of diplopia or ophthalmoplegia. The tuberculin skin test was reactive and the computed tomography scan showed peripherally enhancing collection with bony erosion and intracranial extension in the extraconal space of the superolateral right orbit. Orbital exploration was done which showed caseous material. The histological examination revealed necrotizing granulomatous tissue. The caseous material on Ziehl Neelsen staining confirmed acid-fast bacilli causing a tubercular abscess. The child is currently on anti-tubercular therapy planned for 12 months. Orbital tuberculosis might or might not be in association with pulmonary tuberculosis and should always be taken into consideration while dealing with chronic inflammatory orbital disease and an orbital mass.
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| first_indexed | 2024-03-07T13:58:33Z |
| format | Article |
| id | doaj.art-ddc784fb3a284b53b37302ade3bf8a5d |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2024-04-25T01:11:55Z |
| publishDate | 2024-02-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-ddc784fb3a284b53b37302ade3bf8a5d2024-03-10T06:14:15ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2024-02-016227010.31729/jnma.8441Primary Orbital Tuberculosis with Cold Abscess: A Case Report Sanam Dhakal0Sulochana Neupane1Prerna Arjyal Kafle2Badri Prasad Badhu3Santosh Upadhyaya Kafle4Department of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, NepalDepartment of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, NepalDepartment of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, NepalDepartment of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, NepalDepartment of Clinical Pathology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Orbital tuberculosis is a rare form of extrapulmonary tuberculosis involving orbital soft tissue, periosteum, bones and lacrimal glands. This is a case report of a 6-year-old male child who presented with swelling of the right upper eyelid. He had normal visual acuity without signs of diplopia or ophthalmoplegia. The tuberculin skin test was reactive and the computed tomography scan showed peripherally enhancing collection with bony erosion and intracranial extension in the extraconal space of the superolateral right orbit. Orbital exploration was done which showed caseous material. The histological examination revealed necrotizing granulomatous tissue. The caseous material on Ziehl Neelsen staining confirmed acid-fast bacilli causing a tubercular abscess. The child is currently on anti-tubercular therapy planned for 12 months. Orbital tuberculosis might or might not be in association with pulmonary tuberculosis and should always be taken into consideration while dealing with chronic inflammatory orbital disease and an orbital mass. http://www.jnma.com.np/jnma/index.php/jnma/article/view/8441case reportsorbittuberculosis |
| spellingShingle | Sanam Dhakal Sulochana Neupane Prerna Arjyal Kafle Badri Prasad Badhu Santosh Upadhyaya Kafle Primary Orbital Tuberculosis with Cold Abscess: A Case Report Journal of Nepal Medical Association case reports orbit tuberculosis |
| title | Primary Orbital Tuberculosis with Cold Abscess: A Case Report |
| title_full | Primary Orbital Tuberculosis with Cold Abscess: A Case Report |
| title_fullStr | Primary Orbital Tuberculosis with Cold Abscess: A Case Report |
| title_full_unstemmed | Primary Orbital Tuberculosis with Cold Abscess: A Case Report |
| title_short | Primary Orbital Tuberculosis with Cold Abscess: A Case Report |
| title_sort | primary orbital tuberculosis with cold abscess a case report |
| topic | case reports orbit tuberculosis |
| url | http://www.jnma.com.np/jnma/index.php/jnma/article/view/8441 |
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