Department of Pediatrics, All India Institute of Medical Sciences, Bhubaneswar, 751 019, Odisha, India.
Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, 751 019, Odisha, India.
Indian J Tuberc. 2020 Jul;67(3):404-406. doi: 10.1016/j.ijtb.2019.11.017. Epub 2019 Dec 2.
Ocular tuberculosis (OTB) is a rare form of extrapulmonary Tuberculosis (EPTB) and a rare presenting feature of tuberculosis (TB) in children. We report such a case in a 3-year-old boy who presented with a painless swelling over left upper eyelid. Mycobacterium tuberculosis bacilli were isolated from the swelling by a Fine Needle Aspiration Cytology (FNAC) which confirmed the diagnosis. Investigating him for the extent of disease, we found him to have intracranial extension to involve the ethmoid sinus on contrast enhance Computed Tomography and Pott's disease causing a compression fracture of L3 with bilateral paravertebral collection, epidural extension and a left psoas abscess on Magnetic Resonance Imaging. After starting antitubercular therapy, the child is doing well and on regular follow up. We are presenting this case to highlight the fact that extensive spinal tuberculosis can present without any neurological deficit and may even present only as a benign looking orbital swelling.
眼结核（OTB）是一种罕见的肺外结核（EPTB）形式，也是儿童结核病的罕见表现形式。我们报告了一例 3 岁男孩的病例，他因左眼上眼睑无痛性肿胀就诊。细针抽吸细胞学检查（FNAC）从肿胀处分离出结核分枝杆菌，确诊了该病。为了确定疾病的范围，我们发现他的颅内延伸累及额窦，对比增强 CT 显示 Pott 病导致 L3 压缩性骨折，双侧椎旁脓肿、硬膜外延伸和左侧腰大肌脓肿。开始抗结核治疗后，患儿情况良好，定期随访。我们提出这个病例是为了强调一个事实，即广泛的脊柱结核可能没有任何神经功能缺损，甚至可能只表现为良性的眼眶肿胀。
