Orbital tuberculosis mimicking an ocular malignancy: a case report

Author:

TAGOE Lily G1,Mainsah Valerie Shamwun1,Asare Afrane Adwoa Kumiwa2,Gbadamosi Hafisatu3,Edusei Lawrence4,Acquah Serwaa5,Renner Lorna Awo6,Segbefia Catherine Idara6

Affiliation:

1. Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana

2. Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana ; Department of Child Health, College of Health Sciences, University of Ghana Medical School, Accra, Ghana

3. Department of Radiology, Korle Bu Teaching Hospital, Accra, Ghana

4. Department of Pathology, Korle Bu Teaching Hospital, Accra, Ghana

5. Department of Ophthalmology, Korle Bu Teaching Hospital, Accra, Ghana

6. Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana; Department of Child Health, College of Health Sciences, University of Ghana Medical School, Accra, Ghana

Abstract

Background: Tuberculosis (TB), a multi-systemic disease caused by Mycobacterium tuberculosis, is associated with a high burden of morbidity and mortality worldwide. The diagnosis of TB in children is challenging, particularly when it presents in rarer sites such as the eye. We present a case of a female Ghanaian toddler with a right orbital mass which mimicked an orbital malignancy and was confirmed as TB on histopathology. This case report highlights the need for a high index of suspicion for TB among children who present with orbital masses, especially in TB-endemic regions.

Publisher

University of Ghana

Reference14 articles.

1. 1.Dalvin LA, Smith WM (2016) Orbital and external ocular manifestations of Mycobacterium tuberculosis: A review of the literature. J Clin Tuberc Other Mycobact Dis 4:50–57.

2. 2.Tuberculosis [Internet]. [cited 2021 Sep 21]. Available from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis

3. 3.GHANA TB Dashboard [Internet]. [cited 2021 Sep 21]. Available from: http://www.stoptb.org/resources/cd/GHA_Dashboard.html

4. 4.Neuhouser AJ, Sallam A. Ocular Tuberculosis. StatPearls [Internet]. StatPearls Publishing; 2021 [cited 2021 Sep 22]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK559303/

5. 5.Narula MK, Chaudhary V, Baruah D, Kathuria M, Anand R (2010) Pictorial essay: Orbital tuberculosis. Indian J Radiol Imaging 20:6–10.

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