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Related Experiment Video

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Imaging Mycobacterium tuberculosis in Mice with Reporter Enzyme Fluorescence
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Orbital Tuberculosis with Intracranial Extension.

Batuk Diyora1, Sachin Ashok Giri1, Bhagyashri Bhende1

  • 1Department of Neurosurgery, LTMMC and LTMG Hospital, Mumbai, Maharashtra, India.

Journal of Neurosciences in Rural Practice
|October 2, 2018
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Summary

Orbital tuberculosis (OTB) can present without systemic infection, even extending into the brain. Early diagnosis and treatment are crucial for vision recovery and resolving periorbital swelling.

Keywords:
Orbitotomysinustuberculosis

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Area of Science:

  • Ophthalmology
  • Neurology
  • Infectious Diseases

Background:

  • Orbital tuberculosis (OTB) is a rare condition.
  • It often presents without evidence of systemic tuberculosis.
  • Diagnosis can be challenging due to atypical presentations.

Observation:

  • A 29-year-old male presented with painful periorbital swelling, a discharging sinus, and visual impairment.
  • Orbital CT revealed an intracranial extending cystic mass in the orbit.
  • Initial antibiotic treatment failed to resolve the symptoms.

Findings:

  • Surgical drainage and excision of granulation tissue confirmed OTB via histopathology.
  • The patient successfully responded to antitubercular treatment.
  • Complete resolution of periorbital swelling and improved vision occurred within 2 weeks.

Implications:

  • OTB should be considered in the differential diagnosis of periorbital swelling, particularly in cases unresponsive to antibiotics.
  • This case highlights the importance of considering OTB even in the absence of systemic signs or history of tuberculosis.
  • Prompt diagnosis and appropriate antitubercular therapy are essential for favorable outcomes in OTB.