Tuberculose palpebral presumida simulando um hordéolo em paciente com síndrome da imunodeficiência adquirida

Tuberculose palpebral presumida simulando um hordéolo em paciente com síndrome da imunodeficiência adquirida

Autores:

Roberto Alexandre Carvalho,
Marco Antônio Dantas,
Nelson Macchiaverni Filho,
Roberto Caldato

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.62 no.2 São Paulo abr. 1999

http://dx.doi.org/10.5935/0004-2749.19990039

SUMMARY

Purpose: To report a case of presumed lid tuberculosis in a patient with Acquired Immunodeficiency Syndrome.

Method: A 38-year-old white female, diagnosed Acquired Immunodeficiency Syndrome (AIDS), had a clinicai picture of an externai hordeolum, having being treated with to response. As the case worsened and a preseptal cellulitis developed, specific systemic antibiotics were introduced.

Result: There has been no improvement and an incisional biopsy of the lesion was performed, revealing a chronic granulomatous blepharitis with central caseating necrosis. After starting a tuberculostatic scheme, a dramatic improvement in inflammatory signs was observed and a complete resolution was achieved.

Conclusion: The possibility of tuberculosis as a cause of lid lesions in AIDS patients schould be recognized.

Keywords: Acquired immunodeficiency syndrome; Tuberculosis; Eye lid; Hordeolum

REFERÊNCIAS

1 Bames PF, Bloch AB, Davidson PT et al. Tuberculosis in patients with human immunodeficiency virus infection. N Engl J Med 1991;324:1644-50.
2 Chaisson RE. Tuberculosis in patients with the acquired immunodeficiency syndrome: clinical features, response to therapy and survival. Am Rev Respir Dis 1987;136:570.
3 Berenguer J, Moreno S, Laguna F et al. Tuberculous meningitis in patients infected with lhe human immunodeficiency virus. N Eng J Med 1992;326:668-72.
4 Simon HB. Mycobacteria. In: Rubenstein E, Federman DD., editors: Scientific American Medicine, New York, 1984, Scientific American.
5 Woods AC. Ocular tuberculosis. In Sorsby A., editor: Modem Ophthalmology, Philadelphia, JB Lippincott 1972;105-40.
6 Mehta DK, Sanhikamal, Ashok P. Bilateral tubercular eyelid abscess: a case report. Indian J Ophthalmol 1989;37:98.
7 Mohan K, Prasadi P, Banerje AK, Dhir SP. Tubercular tarsitis. Indian J Ophthalmol 1985;33:115-16.
8 Woods AC. Endogenous inflammation of the uveal tract. Baltimore, William and Wilkins 1961;340-50.
9 Schaegel TF Jr, O'Connor GR. Tuberculosis and syphilis, Arch Ophthalmol 1981;99:2206-7.
10 Centers for Disease Control: Purified protein derivative (PPD) - tuberculin anergy and HIV - infection: guidelines for anergy testing and management of anergic persons at risk of tuberculosis, MMWR 40(RR-5) 1991;27-33.
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