Tuberculous dacryoadenitis: a rare manifestation of tuberculosis

• Published in: Netherlands journal of medicine Vol. 60; no. 8; pp. 327 - 329
• Main Authors: VAN ASSEN, S, LUTTERMAN, J. A
• Format: Journal Article
• Language: English
• Published: Alphen aan den Rijn Van zuiden 01.09.2002
• Subjects: Adult; Bacterial diseases; Biological and medical sciences; Dacryocystitis - diagnostic imaging; Dacryocystitis - etiology; Female; Human bacterial diseases; Humans; Infectious diseases; Medical sciences; Radiography; Tuberculosis and atypical mycobacterial infections; Tuberculosis, Ocular - complications; Tuberculosis, Ocular - diagnosis; Tuberculosis, Ocular - diagnostic imaging; Infection; Case study; Human; Eye disease; Tuberculosis; Dacryoadenitis; Bacteriosis; Clinical form; Mycobacterial infection; Lacrimal apparatus disease
• ISSN: 0300-2977; 1872-9061

A 41-year-old Somalian female inhabitant of The Netherlands presented with malaise and cervical lymph node swelling. Enlarged mediastinal, hilar and abdominal lymph nodes were found on CT scan. Subsequently the left lacrimal gland became swollen, accompanied by periostitis of the lateral orbit margin. Mycobacterium tuberculosis was cultured from lymph node tissue and the diagnosis of tuberculous dacryoadenitis with periostitis was made on CT images and histology. All lesions responded well to tuberculostatic treatment. Although tuberculous dacryoadenitis is a very rare manifestation of tuberculosis, it is still important to recognise this presentation, especially since the incidence of tuberculosis continues to increase in Western countries.