伪装成眼眶恶性肿瘤的眼眶结核瘤
Orbital tuberculoma masquerading as an orbital malignancy.
作者信息
Chin P K, Jacobs M B, Hing S J
机构信息
Royal Alexandra Hospital for Children, Camperdown, New South Wales, Australia.
出版信息
Aust N Z J Ophthalmol. 1997 Feb;25(1):67-9. doi: 10.1111/j.1442-9071.1997.tb01278.x.
BACKGROUND
Orbital tuberculosis is exceedingly rare in areas where tuberculosis is non-endemic. A case of childhood orbital tuberculosis is reported, which the authors believe to be the first reported case of orbital tuberculosis in the Australasian region.
METHODS/RESULTS: The patient a 6-year-old boy presented with proptosis and was initially mistaken to have an orbital malignancy. Treatment with antituberculous drugs resulted in resolution of the condition.
CONCLUSION
This case served as a timely reminder of the need to keep awareness of the extrapulmonary manifestations of tuberculosis alive even in developed countries. A high index of suspicion for this eminently treatable disease in the appropriate clinical situation is particularly important when migrant communities from high-prevalence areas are involved.
背景
在结核病非地方性流行地区，眼眶结核极为罕见。本文报告了一例儿童眼眶结核病例，作者认为这是澳大拉西亚地区首例报告的眼眶结核病例。
方法/结果：该患者为一名6岁男孩，表现为眼球突出，最初被误诊为眼眶恶性肿瘤。抗结核药物治疗使病情得到缓解。
结论
该病例及时提醒我们，即使在发达国家，也需要时刻关注结核病的肺外表现。当涉及来自高流行地区的移民社区时，在适当的临床情况下对这种极易治疗的疾病保持高度怀疑指数尤为重要。
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