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


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


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


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


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