结核性眼眶脓肿合并甲状腺结核。
Tuberculous orbital abscess associated with thyroid tuberculosis.
作者信息
Sharma Kumudini, Kanaujia Vikas, Jain Anu, Bains Sukhdeep, Suman Suvarna
机构信息
Department of Neuro-Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
出版信息
J Ophthalmic Vis Res. 2011 Jul;6(3):204-7.
PURPOSE
To report an unusual presentation of tuberculosis.
CASE REPORT
A six-year old boy presented with left upper lid swelling of 15 days' duration and an asymptomatic midline neck mass from 2 months ago. Imaging studies, and microbiologic tests which demonstrated acid-fast bacilli in the fine needle aspirate of the thyroid mass, both confirmed a diagnosis of cold tuberculous thyroid abscess with presumed hematogenous spread to the orbit. The patient demonstrated marked improvement of both lesions with antitubercular drugs.
CONCLUSION
This case illustrates a very rare association of orbital and thyroid tuberculosis.
目的
报告一例不寻常的结核病表现。
病例报告
一名6岁男孩，左上眼睑肿胀持续15天，2个月前出现无症状的颈部中线肿块。影像学检查以及微生物学检测在甲状腺肿块细针穿刺物中发现抗酸杆菌，二者均确诊为冷性结核性甲状腺脓肿，推测经血行播散至眼眶。患者经抗结核药物治疗后，两处病灶均明显改善。
结论
本病例显示了眼眶结核与甲状腺结核一种非常罕见的关联。
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