• Users Online: 283
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2020  |  Volume : 21  |  Issue : 4  |  Page : 282-286

Histologically confirmed ocular tuberculosis: an unusual case and review of literature


1 Department of Infectious Diseases, Hedi Chaker University Hospital, University of Sfax, Tunisia
2 Department of Ophthalmology, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
3 Department of Pathology, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia

Correspondence Address:
MD Makram Koubaa
Department of Infectious Diseases, Hedi Chaker University Hospital, University of Sfax, Sfax, 3029
Tunisia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/DJO.DJO_21_20

Rights and Permissions

Ocular tuberculosis (OTB) is the first cause of ocular inflammation of infectious origin in developing countries. It can affect all structures of the eye without pathognomonic presentation. Its diagnosis remains challenging owing to the difficulty of sampling for histopathological and microbiological investigations. A 36-year-old male patient with no previous medical history was admitted for a scleral mass in his right eye, which was diagnosed elsewhere 45 days before. On examination, a minimal intraocular inflammatory reaction and right eyelid swelling were noted. A scleral lesion in the superior nasal quadrant of the right eye was observed and was responsible for globe displacement inferolaterally and for restricted eye motility. An excision biopsy of the suspicious lesion was made. Histological examination revealed a tuberculous granuloma associated with caseous necrosis. Sputum smear result was negative for Mycobacterium tuberculosis. Further investigations excluded extra-OTB involvement. The patient received 6 months of antitubercular therapy. The disease evolution was favorable. The authors also reviewed all reported cases of histologically confirmed OTB in the literature by search in PubMed till December 2019. Cases with histopathology results revealing granulomatous inflammation without caseous necrosis and cases of tubercular dacryoadenitis were excluded from the search, at enrollment.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed388    
    Printed10    
    Emailed0    
    PDF Downloaded56    
    Comments [Add]    

Recommend this journal