PMC8047292_01
Non-axial proptosis, marked eyelid edema of upper and lower eyelid with purulent discharge
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F1
Examination revealed (Fig 1) non-axial proptosis, swelling of upper and lower eyelid with purulent discharge, chemosis, and purulent discharge on conjunctival bulbi and hazy cornea.
Axial view of CT scan showing orbital sub-tissue swelling and sub-periosteal abscess on the upper lateral orbital wall (black arrow).
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F2
Imaging modalities using CT scan (fig 2) revealed orbital sub-tissue swelling and sub-periosteal abscess on the upper lateral orbital wall.
Ziehl-Neelson staining was found acid fast bacillus (black arrow)
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F3
Ziehl-Neelson staining test (fig 3) revealed acid fast bacillus with pulmonary inflammation highly pathognomonic of tuberculosis.
Day 15, Stable systemic condition with eyelid swollen and abscess resolved.
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F4
The patient was discharged (fig 4) from the hospital on the 15th day in stable systemic condition with visual acuity hand movement on the right eye.