Biswas Jyotirmay, Roy Chowdhury Bani, Krishna Kumar S, Lily Therese K, Madhavan H N.
Medical and Vision Research Foundation, Chennai, India
Orbit. 2001 Mar;20(1):69-74. doi: 10.1076/orbi.20.1.69.2643.
Orbital tuberculosis is quite uncommon. We report a case of orbital tuberculosis in a 3-year-old child from Bangladesh who presented with swelling and discharging sinus in the lower part of the orbit. Histopathology revealed a granulomatous inflammation with caseation necrosis. Polymerase chain reaction (PCR) showed amplification of the Mycobacterium tuberculosis genome. The patient responded to a course of antituberculous treatment. Mycobacterium tuberculosis should be considered in the differential diagnosis of inflammatory orbital disease in the Indian subcontinent where tuberculosis is prevalent.
眼眶结核相当罕见。我们报告一例来自孟加拉国的3岁儿童眼眶结核病例，该患儿表现为眼眶下部肿胀及有排脓窦道。组织病理学显示为伴有干酪样坏死的肉芽肿性炎症。聚合酶链反应（PCR）显示结核分枝杆菌基因组扩增。该患者对抗结核治疗疗程有反应。在结核病流行的印度次大陆，炎症性眼眶疾病的鉴别诊断中应考虑结核分枝杆菌。
