Diagnosing an atypical case of tuberculosis presenting as dacryocystitis: Sac biopsy and GeneXpert.
Rom J Ophthalmol
; 66(4): 356-359, 2022.
Article
em En
| MEDLINE
| ID: mdl-36589325
ABSTRACT
Objective:
To present an atypical case of tuberculous dacryocystitis.Method:
An adult female presented with long standing epiphora with gradual swelling over lacrimal sac region. On syringing, water was felt in throat with no regurgitation. CT-DCG and CECT orbit were done subsequently and simultaneously. Ill-defined, enhancing soft tissue surrounding and involving the lacrimal sac wall was identified. The sac wall outline was seen distorted with contrast in NLD. The histopathology was suggestive of non-specific chronic inflammation. GeneXpert analysis was shown to be very low positive for M. tuberculosis. Montoux test was strongly positive (40 x 40 mm). ATT was started.Results:
The swelling and watering subsided over the next few months.Conclusion:
Tuberculosis should be considered in cases of chronic granulomatous dacryocystitis. CECT with CT-DCG is essential imaging. GeneXpert is a new and sensitive tool with considerable specificity in cases in which histopathology is not conclusive. ATT is curative and DCR is reserved for only unresolved NLDO with persistent epiphora.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Dacriocistorinostomia
/
Dacriocistite
/
Doenças do Aparelho Lacrimal
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article