Kaur Apjit, Kant Surya, Bhasker S K
Department of Ophthalmology, King George's Medical University, Lucknow, India.
Orbit. 2007 Mar;26(1):39-42. doi: 10.1080/01676830600671482.
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.
本文报道了一组7例眶周结核的观察性病例系列，这是一种在有或无全身疾病的患者中出现的罕见结核表现。观察到眶周扁平骨的不愈合窦道和骨髓炎。所有病例的结核菌素试验和聚合酶链反应均为阳性。窦道分泌物的抗酸杆菌培养为阴性。三联药物治疗的反应显著。一年结束时的随访显示临床康复。作者强调，对于眶周区域不愈合病变和非典型炎症表现的病例，需要高度怀疑。
