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Tubercular nodular episcleritis

Bhargav Prasad Bathula1, Satyanarayana Pappu, Sanjeeva Rao Epari

  • 1Department of Tuberculosis and Chest, Konaseema Institute of Medical Sciences and Research Foundation, Amalapuram, Andhra Pradesh. bathula39@yahoo.com

The Indian Journal of Chest Diseases & Allied Sciences
|September 15, 2012
PubMed

Insights

Tuberculosis can cause nodular episcleritis, an eye inflammation. Prompt diagnosis and anti-tuberculosis treatment led to complete resolution of symptoms in a pediatric patient.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatrics

Background:

  • Nodular episcleritis is an inflammatory condition affecting the episclera.
  • Tuberculosis (TB) is a potential, though less common, cause of ocular inflammation.
  • Early diagnosis and treatment are crucial for managing ocular inflammatory conditions.

Observation:

  • A 12-year-old male presented with chronic right eye pain, redness, blurred vision, and watering.
  • Physical examination revealed nodular episcleritis and an enlarged cervical lymph node.
  • Aspiration cytology of the lymph node indicated tuberculosis.

Findings:

  • The patient was diagnosed with nodular episcleritis secondary to tuberculosis.
  • Anti-tuberculosis therapy was initiated for the child.
  • Complete resolution of ocular symptoms was achieved following treatment.

Implications:

  • This case highlights tuberculosis as a potential cause of pediatric nodular episcleritis.
  • Early diagnosis and treatment of systemic TB are crucial for managing ocular manifestations.
  • Ophthalmologists and infectious disease specialists should consider TB in pediatric patients with unexplained eye inflammation.

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