Chakraborti C, Biswas R, Mondal M, Mukhopadhya U, Datta J
Department of Ophthalmology, Calcutta National Medical College and Hospital, Kolkata, India.
Nepal J Ophthalmol. 2011 Jul-Dec;3(2):210-3. doi: 10.3126/nepjoph.v3i2.5281.
Orbital tuberculosis is rare even in endemic areas. The disease may involve soft tissue, lacrimal gland, or the periosteum or bones of the orbital wall.
We present an Indian girl, who presented with a slowly growing left-sided superotemporal orbital mass, with no significant previous medical history. The swelling turned to an abscess and burst spontaneously giving rise to a discharging sinus. The discharge was negative for any organism on Gram and Giemsa staining. A tuberculin skin test was strongly positive. Incisional biopsy showed caseating granuloma and Langhan 's giant cells suggestive of tubercular aetiology. The patient responded well to tuberculous chemotherapy.
Although tuberculous dacryoadenitis is a very rare manifestation of tuberculosis,still the possibility should be entertained in a slowly growing mass of the lacrimal gland, especially in developing countries where the prevalence of tuberculosis is high.
眼眶结核即便在流行地区也很罕见。该病可能累及软组织、泪腺，或眶壁的骨膜或骨骼。
我们报告一名印度女孩，她左侧颞上眼眶出现一个生长缓慢的肿块，既往无重大病史。肿胀发展为脓肿并自行破溃，形成一个排脓窦道。革兰氏染色和吉姆萨染色均未发现任何病原体。结核菌素皮肤试验呈强阳性。切开活检显示干酪样肉芽肿和朗汉斯巨细胞，提示病因是结核。该患者对结核化疗反应良好。
尽管结核性泪腺炎是结核病非常罕见的一种表现，但对于泪腺处生长缓慢的肿块，尤其是在结核病高发的发展中国家，仍应考虑到这种可能性。
