Lupus vulgaris with endopthalmitis--a rare manifestation of extrapulmonary tuberculosis in India.
We report a case of 17-year-old girl who presented with gradual destruction of the nose along with endopthalmitis and loss of vision of the left eye. On nasal examination, left alae nasi and nasal cartilage was destroyed. Left eye showed signs of endopthalmitis with pthisis bulbi with complete loss of vision. Skin biopsy, FNAC of the lymph nodes were suggestive of tubercular etiology. However, patient did not have any evidence of pulmonary TB. We report this case due to the rare clinical features. The importance of a high index of suspicion and prompt treatment in such atypical forms to prevent morbidity cannot be over-emphasised.
Department of Tuberculosis and Chest Diseases, Goa Medical College, Goa. chiragb1980@yahoo.com
Chirag A
CA
Bhandare
Prachi S
PS
Barad
D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007194:India; D008177:Lupus Vulgaris / Q000175:diagnosis*; D009668:Nose Diseases / Q000175:diagnosis* / Q000382:microbiology; D010202:Panophthalmitis / Q000175:diagnosis* / Q000382:microbiology