Bilateral ocular scrofuloderma with orbital tuberculosis.
Ocular scrofuloderma with orbital tuberculosis is a rarely described presentation of childhood tuberculosis. Bilateral involvement has not been reported earlier in the medical literature. Here is reported a 3-year-old boy who presented with bilateral infraorbital swellings of tubercular etiology. Computed tomography (CT) scan of the upper face revealed enhancing soft tissue lesions in both the lower lids of the eyes, with extraconal extension into the orbits and with erosion of the right zygomatic bone. Tubercular etiology was confirmed by the Ziehl Neelsen staining of the aspirate from the lesion, which was positive for acid-fast bacilli and growth of Mycobacterium tuberculosis in the aspirate culture. The patient showed marked improvement of his lesions on anti-tubercular treatment.
Sharma
Suvasini
S
Department of Pediatrics Pathology, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. suvasinisharma@rediffmail.com
Juneja
Monica
M
Saran
Ravindra Kumar
RK
Kochhar
Atul Mohan
AM
D002675:Child, Preschool; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D009916:Orbital Diseases / Q000175:diagnosis*; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis*; D014392:Tuberculosis, Ocular / Q000175:diagnosis*