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Tuberculosis presenting as dacryoadenitis in the USA.
Harry Ross Powers1, Mark Anthony Diaz1, Julio C Mendez2
1Division of Infectious Diseases, Mayo Clinic Hospital Jacksonville, Jacksonville, Florida, USA.
BMJ Case Reports
|November 22, 2019
Summary
Tuberculosis dacryoadenitis is a rare condition causing eye pain and orbital masses. Prompt diagnosis and antituberculosis therapy can lead to successful treatment and symptom resolution.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pathology
Background:
- Tuberculosis dacryoadenitis is an uncommon manifestation of Mycobacterium tuberculosis infection.
- This case highlights a rare presentation in a developed country, emphasizing the need for clinical suspicion.
Observation:
- A 25-year-old Filipino woman presented with a 5-month history of left eye pain and an orbital mass.
- Histopathological examination of the lacrimal mass revealed necrotising granulomas.
Findings:
- Cultures were positive for Mycobacterium tuberculosis, confirming tuberculosis dacryoadenitis.
- The patient's symptoms resolved following antituberculosis therapy.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of orbital masses, even in non-endemic regions.
- Early diagnosis and appropriate antituberculosis treatment are crucial for favorable outcomes in tuberculosis dacryoadenitis.
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