Tuberculous Periostitis of the Orbit: A Case Report

ABSTRACT

The authors present a case of tuberculuos periostitis of the orbit which is extremely rare in nowadays. An 18-year-old man who had pulmonary and hepatic tuberculosis complained pain and erythematous swelling of periorbital region. Skull X-ray films showed multiple punched-out lesions on cranial vault. CT scan of the orbit revealed a homogenous mass on lateral orbital wall. The lesion was extended into the intracranial cavity with bony destruction and thickening of dura matter. The cold abscess of lower lid was drained by skin incision and Acid-fast bacilli was isolated from direct smear and culture.