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Papers of the Week

2019 Nov 19

BMJ Case Rep



Tuberculosis presenting as dacryoadenitis in the USA.


Powers H R, Diaz M A, Mendez JC
BMJ Case Rep. 2019 Nov 19; 12(11).
PMID: 31748361.


A 25-year-old Filipino woman living in the USA was evaluated for a 5-month history of left eye pain and a subsequent orbital mass. Histopathological analysis of the lacrimal mass showed a mixed inflammatory process with necrotising granulomas and positive cultures for She was treated with antituberculosis therapy, with resolution of symptoms. Tuberculosis dacryoadenitis is extremely rare in the USA and other developed countries. It requires a high degree of clinical suspicion with special attention to the patient's history to make the correct diagnosis. It can be treated successfully with antituberculosis therapy.