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Tuberculous orbital abscess associated with thyroid tuberculosis.

Sharma K, Kanaujia V, Jain A, Bains S, Suman S - J Ophthalmic Vis Res (2011)

Bottom Line: A six-year old boy presented with left upper lid swelling of 15 days' duration and an asymptomatic midline neck mass from 2 months ago.The patient demonstrated marked improvement of both lesions with antitubercular drugs.This case illustrates a very rare association of orbital and thyroid tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuro-Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

ABSTRACT

Purpose: To report an unusual presentation of tuberculosis.

Case report: A six-year old boy presented with left upper lid swelling of 15 days' duration and an asymptomatic midline neck mass from 2 months ago. Imaging studies, and microbiologic tests which demonstrated acid-fast bacilli in the fine needle aspirate of the thyroid mass, both confirmed a diagnosis of cold tuberculous thyroid abscess with presumed hematogenous spread to the orbit. The patient demonstrated marked improvement of both lesions with antitubercular drugs.

Conclusion: This case illustrates a very rare association of orbital and thyroid tuberculosis.

No MeSH data available.


Related in: MedlinePlus

Photomicrograph of fine needle aspirate obtained from the thyroid mass demonstrates degenerated polymorphonuclear cells, lymphocytes, and epitheloid cells in a necrotic background (May-Grünwald Giemsa staining, magnification ×100)
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f2-jovr-6-3-204: Photomicrograph of fine needle aspirate obtained from the thyroid mass demonstrates degenerated polymorphonuclear cells, lymphocytes, and epitheloid cells in a necrotic background (May-Grünwald Giemsa staining, magnification ×100)

Mentions: US-guided fine needle aspiration of the orbital lesion was performed and the specimen underwent microscopic examination, and culture for bacteria, mycobacteria and fungi. Cytology demonstrated lymphocytes and a few giant cells, but no micro-organisms. Cultures remained sterile after 2 weeks. Fine needle aspiration from the neck mass revealed acid-fast bacilli, together with lymphocytes, and epitheloid and giant cells (Fig. 2). Mycobacteria grew on the culture media incubated with the thyroid specimen. Chest X-ray and abdominal US were normal.


Tuberculous orbital abscess associated with thyroid tuberculosis.

Sharma K, Kanaujia V, Jain A, Bains S, Suman S - J Ophthalmic Vis Res (2011)

Photomicrograph of fine needle aspirate obtained from the thyroid mass demonstrates degenerated polymorphonuclear cells, lymphocytes, and epitheloid cells in a necrotic background (May-Grünwald Giemsa staining, magnification ×100)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3306106&req=5

f2-jovr-6-3-204: Photomicrograph of fine needle aspirate obtained from the thyroid mass demonstrates degenerated polymorphonuclear cells, lymphocytes, and epitheloid cells in a necrotic background (May-Grünwald Giemsa staining, magnification ×100)
Mentions: US-guided fine needle aspiration of the orbital lesion was performed and the specimen underwent microscopic examination, and culture for bacteria, mycobacteria and fungi. Cytology demonstrated lymphocytes and a few giant cells, but no micro-organisms. Cultures remained sterile after 2 weeks. Fine needle aspiration from the neck mass revealed acid-fast bacilli, together with lymphocytes, and epitheloid and giant cells (Fig. 2). Mycobacteria grew on the culture media incubated with the thyroid specimen. Chest X-ray and abdominal US were normal.

Bottom Line: A six-year old boy presented with left upper lid swelling of 15 days' duration and an asymptomatic midline neck mass from 2 months ago.The patient demonstrated marked improvement of both lesions with antitubercular drugs.This case illustrates a very rare association of orbital and thyroid tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuro-Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

ABSTRACT

Purpose: To report an unusual presentation of tuberculosis.

Case report: A six-year old boy presented with left upper lid swelling of 15 days' duration and an asymptomatic midline neck mass from 2 months ago. Imaging studies, and microbiologic tests which demonstrated acid-fast bacilli in the fine needle aspirate of the thyroid mass, both confirmed a diagnosis of cold tuberculous thyroid abscess with presumed hematogenous spread to the orbit. The patient demonstrated marked improvement of both lesions with antitubercular drugs.

Conclusion: This case illustrates a very rare association of orbital and thyroid tuberculosis.

No MeSH data available.


Related in: MedlinePlus