Periorbital tuberculosis.
An observational case series of seven cases of periorbital tuberculosis, a rare tubercular presentation occurring in patients with and without systemic disease, is presented. Non-healing sinus and osteomyelitis of periorbital flat bones was observed. All cases had a positive Monteaux test and PCR. AFB cultures of the sinus discharge were negative. The response to triple-drug therapy was dramatic. Follow-up at the end of one year showed clinical recovery. The authors stress the need for a high index of suspicion in cases of non-healing lesions and atypical inflammatory presentation in the periorbital region.
Kaur
Apjit
A
Department of Ophthalmology, King George's Medical University, Lucknow, India. apjit@rediffmail.com
Kant
Surya
S
Bhasker
S K
SK
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000188:drug therapy / Q000382:microbiology*; D014392:Tuberculosis, Ocular / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents