Primary Conjunctival Tuberculosis

被引:6
|
作者
Solmaz, Nilgun [1 ]
Onder, Feyza [1 ]
Demir, Nedime [1 ]
Aydin, Ozlem Altuntas [2 ]
机构
[1] Univ Hlth Sci, Haseki Training & Res Hosp, Ophthalmol Clin, Istanbul, Turkey
[2] Univ Hlth Sci, Dr Sadi Konuk Training & Res Hosp, Infect Dis & Clin Microbiol Clin, Istanbul, Turkey
来源
TURK OFTALMOLOJI DERGISI-TURKISH JOURNAL OF OPHTHALMOLOGY | 2018年 / 48卷 / 01期
关键词
Conjunctival tuberculosis; tuberculous conjunctivitis; tuberculosis;
D O I
10.4274/tjo.66592
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A 12-year-old girl was referred to our clinic because of unilateral conjunctivitis not responding to treatment. In the left eye, lower bulbar and tarsal conjunctiva had a polypoidal appearance due to micronodules and there was a subconjunctival nodular mass in the inferior fornix. Systemic examination was unremarkable except for a left preauricular lymphadenopathy. Excision biopsy of the subconjunctival mass revealed a granulomatous inflammation with caseation necrosis, but acid-fast bacilli (AFB) was negative. Fine needle-aspiration biopsy of the preauricular lymph node was performed. In microbiological examination, both AFB and mycobacterial culture were positive. The isolated mycobacteria strains were identified as Mycobacterium tuberculosis complex and full remission was achieved with 6 months of anti-tuberculosis treatment. Although primary tuberculous conjunctivitis is a very rare condition, it should be considered in the differential diagnosis of treatment-resistant unilateral conjunctivitis. For definitive diagnosis, microbiological and histopathological examinations should be performed both in conjunctiva and regional lymph node.
引用
收藏
页码:39 / 41
页数:3
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