Periorbital tuberculosis: a case report

Introduction: Periorbital tuberculosis is rare and usually associated with
involvement of other organs. Most of these patients have underlying cause.
Diagnosis is difficult and depends on microbiologic and histological study.
Case report: A 17 years old student referred to Shahid Mohammadi Hospital
with periorbital mass since 12 weeks ago with impression of bacterial periobital
abscess. Incision and drainage was done and the patient received 7 days Iv
Antibiotic therapy and was discharged with relative improvement. The patient
referred again with recurrence of the symptoms. Culture of drained puss in
special media showed mycobacterium Tuberculosis. The patient received 6
months antituberculous therapy with improvement, No recurrence is seen in 12
months follow up.
Conclusion: We must consider periorbital tuberculosis in patients with refractory
periorbital infection without tuberculosis involvement of other organs.