Tuberculous Periostitis of the Orbit: A Case Report.

Cho, Kyu Ryong; Lee, Do Yong

Case Report

Journal of the Korean Ophthalmological Society 1990;31(1):99-103.
Published online January 1, 1990.

Tuberculous Periostitis of the Orbit: A Case Report.

Kyu Ryong Cho, Do Yong Lee

Department of Ophthalmology, College of Medicine, Pusan National University, Korea.

결핵성 안와골막염 1 예

이도용(Do Yong Lee),조규룡(Kyu Ryong Cho)

Abstract

The authors present a case of tuberculuos periostitis of the orbit which is extremely rare in nowadays. An 18-year-old man who had pulmonary and hepatic tuberculosis complained pain and erythematous swelling of periorbital region. Skull X-ray films showed multiple punched-out lesions on cranial vault. CT scan of the orbit revealed a homogenous mass on lateral orbital wall. The lesion was extended into the intracranial cavity with bony destruction and thickening of dura matter. The cold abscess of lower lid was drained by skin incision and Acid-fast bacilli was isolated from direct smear and culture.

Key Words: Acid-fast bacilli;dura matter;punched-out lesions;tuberculous periostitis