Tuberculous dacryoadenitis: a rare manifestation of tuberculosis.
SourceNetherlands Journal of Medicine, 60, 8, (2002), pp. 327-329
Article / Letter to editor
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Netherlands Journal of Medicine
SubjectThe role of cytokines in the pathophysiology of febrile illnesses and in host defense against infections; Hypertension and Circulation; De rol van cytokinen in de pathofysiologie van koortsende ziekten en in de afweer tegen infecties; Hypertensie en circulatie
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.
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