Orbital Tuberculosis
A 37-year-old man had epistaxis, headache, intermittent swelling of the periorbital region, proptosis, epiphora, and chronic sinusitis. X-ray films showed marked erosion of the midline facial bones, total opacification of both maxillary sinuses, and clouding of the sphenoid and left ethmoid sinuses....
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Veröffentlicht in: | American journal of ophthalmology 1981-05, Vol.91 (5), p.644-647 |
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creator | Spoor, Thomas C. Harding, Sally A. |
description | A 37-year-old man had epistaxis, headache, intermittent swelling of the periorbital region, proptosis, epiphora, and chronic sinusitis. X-ray films showed marked erosion of the midline facial bones, total opacification of both maxillary sinuses, and clouding of the sphenoid and left ethmoid sinuses. He also had a cutaneous-maxillary sinus fistula and a purulent discharge. A histopathologic examination disclosed areas of acute and chronic inflammation with occasional noncaseating granulomas.
Biopsy specimens and postoperative sputum cultures grew Mycobacterium tuberculosis, although the patient had no obvious signs of systemic disease. Because tuberculosis of the orbit is rare in developed countries, it is often overlooked in the diagnosis of granulomatous inflammation of the orbit. This can lead to exacerbation of the disease by corticosteroid treatment. |
doi_str_mv | 10.1016/0002-9394(81)90067-2 |
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Biopsy specimens and postoperative sputum cultures grew Mycobacterium tuberculosis, although the patient had no obvious signs of systemic disease. Because tuberculosis of the orbit is rare in developed countries, it is often overlooked in the diagnosis of granulomatous inflammation of the orbit. This can lead to exacerbation of the disease by corticosteroid treatment.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/0002-9394(81)90067-2</identifier><identifier>PMID: 6786099</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Diagnosis, Differential ; Humans ; Male ; Mycobacterium tuberculosis ; Mycobacterium tuberculosis - isolation & purification ; Orbital Diseases - diagnosis ; Orbital Diseases - pathology ; Osteomyelitis - diagnosis ; Tuberculosis, Osteoarticular - diagnosis ; Tuberculosis, Osteoarticular - microbiology ; Tuberculosis, Osteoarticular - pathology</subject><ispartof>American journal of ophthalmology, 1981-05, Vol.91 (5), p.644-647</ispartof><rights>1981 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-1dff8768ff55e3bafd6658bd6c3142b3812b81a0d4927d99ae6619a0bc4f1b3a3</citedby><cites>FETCH-LOGICAL-c388t-1dff8768ff55e3bafd6658bd6c3142b3812b81a0d4927d99ae6619a0bc4f1b3a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002939481900672$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6786099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spoor, Thomas C.</creatorcontrib><creatorcontrib>Harding, Sally A.</creatorcontrib><title>Orbital Tuberculosis</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>A 37-year-old man had epistaxis, headache, intermittent swelling of the periorbital region, proptosis, epiphora, and chronic sinusitis. X-ray films showed marked erosion of the midline facial bones, total opacification of both maxillary sinuses, and clouding of the sphenoid and left ethmoid sinuses. He also had a cutaneous-maxillary sinus fistula and a purulent discharge. A histopathologic examination disclosed areas of acute and chronic inflammation with occasional noncaseating granulomas.
Biopsy specimens and postoperative sputum cultures grew Mycobacterium tuberculosis, although the patient had no obvious signs of systemic disease. Because tuberculosis of the orbit is rare in developed countries, it is often overlooked in the diagnosis of granulomatous inflammation of the orbit. This can lead to exacerbation of the disease by corticosteroid treatment.</description><subject>Adult</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Male</subject><subject>Mycobacterium tuberculosis</subject><subject>Mycobacterium tuberculosis - isolation & purification</subject><subject>Orbital Diseases - diagnosis</subject><subject>Orbital Diseases - pathology</subject><subject>Osteomyelitis - diagnosis</subject><subject>Tuberculosis, Osteoarticular - diagnosis</subject><subject>Tuberculosis, Osteoarticular - microbiology</subject><subject>Tuberculosis, Osteoarticular - pathology</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtLA0EUhQdRYox2lgpWosXq3J13I0jwBYE0sR7mCSObbJzJCv57d01IqdUtznfOhQ-hC8B3gIHfY4zrShFFbyTcKoy5qOoDNAYpVAVSwSEa75FjdFLKBx4gKkZoxIXkWKkxOp9nmzamuVp0NmTXNW1J5RQdRdOUcLa7E_T-_LSYvlaz-cvb9HFWOSLlpgIfoxRcxshYINZEzzmT1nNHgNaWSKitBIM9VbXwSpnAOSiDraMRLDFkgq63u-vcfnahbPQyFReaxqxC2xUtGGeKUPovCKwWnBHWg3QLutyWkkPU65yWJn9rwHqwpgclelCiJehfa7rua5e7_c4ug9-Xdpr6_GGbh97GVwpZF5fCygWfcnAb7dv094MfRFR5rQ</recordid><startdate>198105</startdate><enddate>198105</enddate><creator>Spoor, Thomas C.</creator><creator>Harding, Sally A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>198105</creationdate><title>Orbital Tuberculosis</title><author>Spoor, Thomas C. ; Harding, Sally A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-1dff8768ff55e3bafd6658bd6c3142b3812b81a0d4927d99ae6619a0bc4f1b3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Adult</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Male</topic><topic>Mycobacterium tuberculosis</topic><topic>Mycobacterium tuberculosis - isolation & purification</topic><topic>Orbital Diseases - diagnosis</topic><topic>Orbital Diseases - pathology</topic><topic>Osteomyelitis - diagnosis</topic><topic>Tuberculosis, Osteoarticular - diagnosis</topic><topic>Tuberculosis, Osteoarticular - microbiology</topic><topic>Tuberculosis, Osteoarticular - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spoor, Thomas C.</creatorcontrib><creatorcontrib>Harding, Sally A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spoor, Thomas C.</au><au>Harding, Sally A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Orbital Tuberculosis</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1981-05</date><risdate>1981</risdate><volume>91</volume><issue>5</issue><spage>644</spage><epage>647</epage><pages>644-647</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><abstract>A 37-year-old man had epistaxis, headache, intermittent swelling of the periorbital region, proptosis, epiphora, and chronic sinusitis. X-ray films showed marked erosion of the midline facial bones, total opacification of both maxillary sinuses, and clouding of the sphenoid and left ethmoid sinuses. He also had a cutaneous-maxillary sinus fistula and a purulent discharge. A histopathologic examination disclosed areas of acute and chronic inflammation with occasional noncaseating granulomas.
Biopsy specimens and postoperative sputum cultures grew Mycobacterium tuberculosis, although the patient had no obvious signs of systemic disease. Because tuberculosis of the orbit is rare in developed countries, it is often overlooked in the diagnosis of granulomatous inflammation of the orbit. This can lead to exacerbation of the disease by corticosteroid treatment.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>6786099</pmid><doi>10.1016/0002-9394(81)90067-2</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Diagnosis, Differential Humans Male Mycobacterium tuberculosis Mycobacterium tuberculosis - isolation & purification Orbital Diseases - diagnosis Orbital Diseases - pathology Osteomyelitis - diagnosis Tuberculosis, Osteoarticular - diagnosis Tuberculosis, Osteoarticular - microbiology Tuberculosis, Osteoarticular - pathology |
title | Orbital Tuberculosis |
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