Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
Indian J Sex Transm Dis
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Year : 2012  |  Volume : 33  |  Issue : 2  |  Page : 128-130

Orbital tuberculosis manifesting as proptosis in an immunocompromised host

1 Department of Ophthalmology, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India
2 Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India
3 Department of Radiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India

Correspondence Address:
Jyoti Jain
Department of Medicine, Mahatma Gandhi institute of medical sciences, Sewagram, Wardha, Maharashtra - 442 102
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0253-7184.102129

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Orbital tuberculosis is an extremely rare, potentially devastating state, when not effectively treated, can lead to grave sequelae. Proptosis can be the result of primary orbital pathology or systemic disease processes. (1, 2) Thyroid ophthalmopathy being commonest cause of proptosis .It can also be a manifestation of, diseases involving various structures of orbit and of superior orbital fissure or cavernous sinus. A case of orbital tubercular abscess presenting with proptosis and blindness in a young male 27 years is reported. Clinicians should suspect rare causes in an immuno- compromised host .(2, 3) The failure to diagnose these conditions can lead to unintended sequelae. Key Message: The patient who presents with proptosis must be evaluated to ascertain the causation. Preservation of vision is of paramount importance. On follow-up patients should be monitored for complications and remedied.

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