Ocular tuberculosis presenting as conjonctival granuloma
Purpose
To report a case of a female patient with conjonctival granuloma as a manifestation of ocular tuberculosis
Methods
Case report
Results
An 18-year-old female patient presented with left eye complaints of tearing and conjunctival growths for 3 months after conjonctival traumatism by a tukey feather.A thorough review of systems was negative.Her best corrected visual acuities were 20/20 od and 20/20 os.On examination, she had vascularized papillomatous-appearing lesions on the temporal and inferior bulbar conjunctiva.No masses were seen on eversion of theupper
lids, and there was no lymphadenopathy in the head and neck region.Anterior and posterior segment examination was unremarkable in both eyes, including a lack of anterior uveitis, iris nodules, vitritis or chorioretinal lesions. Stains for fungi, bacteria, acid-fast bacillus, and spirochetes were negative.Conjunctival cultures were negative.Histologic specimen of conjunctival mass biopsy ,showed caseating neutrophilic granulomas with chronic, compact aggregates of activated macrophages (epithelioid cells) and giant cells.Mantoux test was positive with 17 mm induration diameter. No evidence of pulmonary tuberculosis was seen at chest X Ray. The patient was started Antituberculous Therapy(RIPE).Upon follow-up examination subsequent to treatment, the conjunctival lesions had resolved
Conclusion
Mycobacterium tuberculosis may lead to formation of conjunctival granuloma .Conjonctival mass biopsy is of utmost importance as it can provide decision making for initiating anti-tuberculosis therapy
Conflict of interest
No
Author 1
Last name
BEN AMOR
Initials of first name(s)
H
Department
ophtalmology,Fattouma Bourguiba university hospital
City
Monastir
Country
Tunisia
Author 2
Last name
Mefteh
Initials of first name(s)
M
City
Monastir
Country
Tunisia
Author 3
Last name
Jerbi
Initials of first name(s)
I
City
Monastir
Country
Tunisia
Author 4
Last name
Zouara
Initials of first name(s)
H
City
Monastir
Country
Tunisia
Author 5
Last name
Messaoud
Initials of first name(s)
R
City
Mahdia
Country
Tunisia
Author 6
Last name
Khairallah
Initials of first name(s)
M
City
Monastir
Country
Tunisia
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