Abstract
Orbital involvement in tuberculosis is rare even in areas where TB is endemic. Orbital TB is classified into
five forms; classical periostitis, orbital soft tissue tuberculoma or cold abscess with no bone destruction,
orbital TB with bone destruction, orbital TB spread from para-nasal sinuses and tuberculous dacryoadenitis.
We present a 17 year old patient who presented with a third recurrence of orbital and forehead
abscesses. On orbital CT-scan, the patient had pan-sinusitis, right orbital and frontal abscesses, bilateral
proptosis and frontal bone destruction. Initially the diagnosis of orbital TB was based on a good response
to antituberculosis medications and it was later confirmed by histology showing caseating TB granulomas.
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