Sagar Poonam, Shankar Ravi, Wadhwa Vikram, Singh Ishwar, Khurana Nita
a Department of ENT & Head & Neck Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital , Delhi , India.
b Department of Head and Neck Surgery, Tata Memorial Hospital , Mumbai , India.
Orbit. 2019 Aug;38(4):331-334. doi: 10.1080/01676830.2018.1513044. Epub 2018 Aug 24.
Tuberculosis is an airborne communicable disease primarily affecting lungs. Primary tuberculosis of the lacrimal sac is very rare. A 15-year-old girl presented with bilateral epiphora for 8 months. Examination revealed bilateral nasolacrimal duct obstruction. During dacryocystorhinostomy, bone over lacrimal sac was found partially eroded. Lacrimal sac was found filled with caseous white material. Biopsy from the lacrimal sac revealed tubercular granulomas. Patient improved after anti-tubercular therapy. PCR: polymerase chain reaction; NAAT: nucleic acid amplification test.
结核病是一种主要影响肺部的空气传播传染病。泪囊原发性结核非常罕见。一名15岁女孩出现双侧溢泪8个月。检查发现双侧鼻泪管阻塞。在泪囊鼻腔吻合术中，发现泪囊上方的骨质部分被侵蚀。泪囊内充满干酪样白色物质。泪囊活检显示结核性肉芽肿。患者在抗结核治疗后病情好转。PCR：聚合酶链反应；NAAT：核酸扩增试验。
