Pictorial essay: Orbital tuberculosis

“…Bony involvement can also be seen in the form of cortical irregularity and destruction. Bony thickening and sclerosis are seen in longstanding cases (Narula M K et al, 2010). Other causes of bone destruction in the paediatric age group are neuroblastoma, without an associated abscess and Ewing sarcoma, which usually shows a Chakraborti C et al Tuberculous Osteomyelitis of Orbit Nepal J Ophthalmol 2017;9(17): 87-90 speculated periosteal reaction with a soft tissue mass (Narula M K et al 2010).…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Osteomyelitis of Orbit- A Case Report

Chakraborti

Choudhury

Das³

2017

Nep J Oph

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Background: Orbital tuberculosis is a rare manifestation of extrapulmonary tuberculosis. We report an interesting case of osteomyelitis of orbital bone in an Indian child. Case Report: A 9-year old girl presented with a gradually increasing painless swelling of left upper lid and blepharoptosis along with swelling of left side of forehead for last two months. The swelling was soft, fluctuating and non-tender. Diagnostic tap revealed thick pus which prompted us to do an incisional drainage of the abscess. The pus was sterile on microbiological examination. A diagnosis of osteomyelitis of orbit along with cold abscess of infratemporal fossa was made on the basis of clinical examination, positive Mantoux (MX) test, high erythrocyte sedimentation rate (ESR) and bony erosion of frontal and zygomatic bones in contrast enhanced computerized tomography (CECT). Patient showed marked improvement with antitubercular drug (ATD) but a sinus developed at the incision site. Six months later patient presented with occasional serous discharge from the sinus.The patient underwent excision of the sinus along with curettage and debridement of the left frontal bone and the tissue was sent for histopathological and microbiological examination. ATD was continued for 15 months. Her post-treatment three year follow up was without any recurrence. Conclusion: High index of suspicion should be kept for early diagnosis and timely treatment of the orbital tuberculosis. We want to report the case because of its rarity and clinical interest.

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“…The clinical form is more common in children; the cases are being reported in adults too, nonetheless. The outer margin of orbit typically gets affected in the form of tuberculous periostitis; however, may manifest as cortical irregularities resulting in thickening and sclerosis of orbital bones [17,18]. A copious case of draining sinus tract and/or radiographic evidence of bony destructioncommonly in frontal, sphenoid, and zygomatic has been reported [9,16,17].…”

Section: Clinical Presentationmentioning

confidence: 99%

Ocular tuberculosis: Clinicopathologic assortment and diagnostic challenges

Khadka¹,

Sitaula²

2019

J Clin Res Ophthalmol

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Ocular tuberculosis is an exigent clinical entity-lacking a distinct clinical presentation and attributing the diagnostic conundrum. Nevertheless, the early-precise diagnosis with implicated anti-tubercular therapy may be sight-saving; diagnostic delays often encountered due to protean clinical presentations, the impracticability of obtaining tissue (in most case), limitation on sample volume extraction, and of wanting a sensitive diagnostic test. This article revises the current scenario of ocular tuberculosis, its clinicopathologic arrays, and diagnostic challenges for clinical management; Furthermore, advocates for compiling all such positive fi ndings of corroborative tests in a precise diagnosis.

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Pictorial essay: Orbital tuberculosis

Cited by 28 publications

References 10 publications

Tuberculose orbitaire: à propos d’un cas

Tuberculose orbitaire: à propos d’un cas

Tuberculous Osteomyelitis of Orbit- A Case Report

Ocular tuberculosis: Clinicopathologic assortment and diagnostic challenges

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