1 Signs and Symptoms
Risk factors to acquire orbital Tb include contact with an index case, lower socio-economic status, drug abusers, and some health care workers [1].
The condition presents in one of the five forms [2]:
- (i)
Orbital tuberculoma or cold abscess without bone involvement: Presenting features include proptosis, palpable orbital mass lesion, diplopia, and pain (Fig. 1). Lesion can either be well-defined, or diffuse, with intracranial extension.
- (ii)
Classic periostitis: Chronic ulceration or discharging sinus in the periorbital region, with skin tethering to the surrounding bone, often leading to ectropion (Fig. 1). CT scan shows bony erosion, with irregular thickening of the bone, most commonly seen to affect the orbital margin.
- (iii)
Tuberculoma with bony involvement: Proptosis with bony involvement is seen in this category, and intracranial extension may also occur (Fig. 2)
- (i)
Similar content being viewed by others
References
Marks SM, Taylor Z, Qualls NL, Shrestha-Kuwahara RJ, Wilce MA, Nguyen CH. Outcomes of contact investigations of infectious tuberculosis patients. Am J Respir Crit Care Med. 2000;162(6):2033–8. https://doi.org/10.1164/ajrccm.162.6.2004022.
Madge SN, Prabhakaran VC, Shome D, Kim U, Honavar S, Selva D. Orbital tuberculosis: a review of the literature. Orbit. 2008;27(4):267–77. https://doi.org/10.1080/01676830802225152.
Sen DK. Tuberculosis of the orbit and lacrimal gland: a clinical study of 14 cases. J Pediatr Ophthalmol Strabismus. 1980;17(4):232–8.
Powell DA, Hunt WG. Tuberculosis in children: an update. Adv Pediatr Infect Dis. 2006;53:279–322. https://doi.org/10.1016/j.yapd.2006.04.014.
Cheng VC, Yew WW, Yuen KY. Molecular diagnostics in tuberculosis. Eur J Clin Microbiol Infect Dis. 2005;24(11):711–20. https://doi.org/10.1007/s10096-005-0039-1.
Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician. 2005;72(9):1761–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this entry
Cite this entry
Naik, M.N., Joseph, J. (2021). Granulomatous orbital inflammation: Orbital tuberculosis (TB). In: Ben Simon, G., Greenberg, G., Prat, D. (eds) Atlas of Orbital Imaging . Springer, Cham. https://doi.org/10.1007/978-3-030-41927-1_110-1
Download citation
DOI: https://doi.org/10.1007/978-3-030-41927-1_110-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-41927-1
Online ISBN: 978-3-030-41927-1
eBook Packages: Springer Reference MedicineReference Module Medicine