PDF(Pubmed)
Abstract：
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.
UNASSIGNED: case reports; orbit; tuberculosis.
UNASSIGNED: case reports; orbit; tuberculosis.
摘要：
眼眶结核是一种罕见的肺外结核，累及眼眶软组织，骨膜,骨骼和泪腺。这是一例6岁男童的病例报告，表现为右上眼睑肿胀。他的视力正常，没有复视或眼肌麻痹的迹象。结核菌素皮肤试验是反应性的，计算机断层扫描显示，在右上外侧眼眶的外间隙中，外周增强聚集，骨侵蚀和颅内延伸。进行了轨道勘探，显示了干酪样物质。组织学检查显示坏死性肉芽肿组织。ZiehlNeelsen染色上的干酪样物质证实了耐酸杆菌引起结核性脓肿。该孩子目前正在接受计划为期12个月的抗结核治疗。眼眶结核可能与肺结核有关，也可能与肺结核无关，在治疗慢性炎症性眼眶疾病和眼眶肿块时应始终予以考虑。
■病例报告；眼眶；肺结核。
■病例报告；眼眶；肺结核。
