Two cases of eyelid tuberculosis – An uncommon presentation of ocular tuberculosis

Bajaj, Darshan Kumar; Srivastava, Anand; Kushwaha, Rashmi; Joshi, Ambrish; Pandey, Manoj Kumar; Mishra, Pratyush; Asnani, Mona

doi:10.1016/j.ijtb.2016.06.004

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Ocular tuberculosis was reported as choroidal tuberculoma in 1830 by Gueneau de Mussy. 3 Ocular tuberculosis can be caused by Mycobacteria species such as tuberculosis, bovis, microti, and africanum surrounding the eyes. 4 Primary ocular tuberculosis is isolated from systemic infection.…”

Section: Discussionmentioning

confidence: 99%

A rare presentation of eyelid tuberculosis

Qing

Baharuddin²,

Jalil³

et al. 2020

MyJO

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Mycobacterium tuberculosis is transmitted through aerosolization, hence commonly infects the lungs. The occurrence of extrapulmonary tuberculosis is rare. We report a case of eyelid tuberculosis in a 45-year-old gentleman with a history of treated testicular tuberculosis three years ago. He had insidious onset of painless swelling in the right upper eyelid associated with erythema for one month. He did not have other constitutional symptoms. Initially, he was treated as chalazion and given topical antibiotics. However, the swelling worsened despite medication. His best corrected visual acuity was 6/9 in both eyes. Examination showed an elevated ulcerative growth with broad base which bled easily upon touch. The clinical presentation varies from an eyelid infection as an eyelid tumour can be a diagnostic challenge. A slow response to oral and topical antibiotic warrants an excision biopsy. The results showed chronic granulomatous infection in acid-fast bacilli. An antituberculosis (anti-TB) therapy was started and the patient showed a positive clinical response. Althrough rare, tuberculosis of eyelid should be considered as differential diagnosis of chalazion. Any suspicious case should be confirmed by biopsy followed by anti-TB if indicated.

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Section: Discussionmentioning

confidence: 99%

A rare presentation of eyelid tuberculosis

Qing

Baharuddin²,

Jalil³

et al. 2020

MyJO

View full text Add to dashboard Cite

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“…6 Ocular TB causes visual impairment leading to blindness, there by reducing the quality of life and serious economic and social consequences.Ocular Tuberculosis involves the eyelid, conjunctiva, cornea, sclera, iris, uvea, vitreous, retina, lacrimal apparatus, optic nerve. 5,7,8 Papillitis, optic neuritis, optic nerve tubercle, compressive optic neuropathy, optic atropy, and papilloedema are the common manifestion of tuberculosis optic neuropathy. 5,7,8 Secondary ocular tuberculosis is the ocular involvement as a result of haematogenous spread from a distant site or direct invasion from adjacent areas…”

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A clinical study of optic nerve involvement in patients with tuberculosis attending a tertiary health care center in North East

Borooah

Malakar

2021

Int J Res Med Sci

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Background: To screen for ocular finding of optic nerve involvement in patients with tuberculosis and documents these findings.Methods: The hospital based observational study was carried out in a tertiary care hospital in Assam for the duration of July 2018 to June 2019 in 384 diagnosed cases of tuberculosis patients who fulfil the inclusion criteria during the study period.Results: 11 cases with optic nerve involvement was found out of 384 tuberculosis patients. Most common presenting complain was blurring of vision. Unilateral involvement was maximum. Most common finding was disc oedema. Ocular TB cases was higher in extrapulmonary TB patients.Conclusions: Diagnosis of ocular Tb is mainly presumptive, based on history, clinical examination, adjunctive diagnostic tests and response to anti tuberculous therapy. Amongst 384 TB cases ocular manifestations were found in 11 cases and therefore, we can conclude that ocular manifestations hold significance in extra pulmonary manifestations of TB. So, TB patients need to have routine ocular examination for the early diagnosis and timely management.

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Tongue Abscess: A Case Report

Mesfin

Debele

Seyoum

et al. 2022

IMCRJ

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Introduction Abscess of the tongue is a very rare disease that potentially compromises the airway. Acute tongue abscess symptoms include swelling or a lump in the deep tissues of the tongue, throbbing local pain, a discomfort that radiates to the ears, fever, difficulty swallowing, deliberate fixation of the tongue due to pain, and eventually, difficulties breathing. Case This is a 50-year-old male patient who presented with a complaint of severe tongue pain and swelling of three days duration. Associated with this, he had pain while swallowing, difficulty opening his mouth, shortness of breath, and drooling saliva. Likewise, he had a high-grade fever and a global type of headache. On physical examination, there was significant tongue swelling on the left anterolateral area, fluctuant on palpation, and had erythematous border. After informed consent was taken the patient was transferred to the operation room with the diagnosis of tongue abscess. Subsequently, incision and drainage were done under general anesthesia, and about 30mL of thick pus was drained. The pocket was washed with normal saline and 2% hydrogen peroxide. The patient was transferred to the surgical ward with stable vital signs and had been on antibiotics. He was discharged after two days of hospital stay. Conclusion Abscesses in the tongue are quite uncommon due to its rich vascular supply, lymphatic drainage, and saliva’s immunologic advantage. Thorough diagnosis and successful treatment of tongue abscess prevent potential airway compromise. Antibiotic treatment should cover gram-positive and gram-negative anaerobes.

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Two cases of eyelid tuberculosis – An uncommon presentation of ocular tuberculosis

Cited by 5 publications

References 8 publications

A rare presentation of eyelid tuberculosis

A rare presentation of eyelid tuberculosis

A clinical study of optic nerve involvement in patients with tuberculosis attending a tertiary health care center in North East

Tongue Abscess: A Case Report

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