Tuberculosis: An Extremely Unusual Cause of Orbital Wall Erosion

Abstract

We present the case report of a 10-year-old girl who presented to us with a painless swelling involving the left infraorbital region. The swelling was diagnosed to be tubercular in origin with erosion of the zygomatic, maxillary and frontal bones constituting the inferior and lateral walls of the left orbit. The patient responded well to antitubercular chemotherapy. A discussion of the case and a literature review of causes of orbital erosion is presented.

Primary Sinonasal Tuberculosis: A Diagnostic Challenge

“…The lesion can be proliferative, infiltrative, or ulcerative. It usually affects the nasal septum first, followed by the anterior segment of inferior turbinates, paranasal sinuses, choana, nasopharynx, orbit, and cranial cavity, not necessarily in that order (7). Most patients present with nasal obstruction, blood-stained nasal discharge, epistaxis, crusting, pain, dryness of the nose and throat, epiphora, post-nasal discharge, and blurred vision (if there is orbital involvement) (1, 8, 9, 10).…”

Orbital tuberculosis in a paediatric population

“…Another 14 cases of orbital TB have been described in literature after their report. [2][3][4][5][6][7][8] Orbital TB has been categorised into five clinical groups. 1 Classical periostitis was the most common subtype reported by Madge et al followed by orbital TB with bone involvement and orbital soft tissue tuberculoma / cold abscess with no bony destruction.…”