Orbital Tuberculosis at Iota Chu: About a Case

Introduction: Tuberculosis is an infectious, contagious disease caused by a bacterium called Mycobacterium tuberculosis. Pulmonary disease is the most common form. Ocular involvement of tuberculosis is rare. In fact, only 0.3% of patients with tuberculosis develop orbital involvement. The aim of our work is to describe the diagnostic and curative aspects through a case. Observation: We report a case of orbital tuberculosis. The clinical examination revealed unilateral exophthalmos, and the CT scan showed intra- and extra-conical orbital swelling at the expense of soft tissues with grade II exophthalmos. The biopsy was performed. Pathological examination of the surgical specimen revealed giant Langhans cells and caseous necrosis, suggesting orbital tuberculosis. Anti-tuberculosis treatment under the 2RHZE/4RH protocol was initiated by fellow pulmonologists, accompanied by clinical monitoring for 6 months. At the end of the treatment, the remission was complete. Conclusion: Orbital tuberculosis, although rare, was diagnosed in our case by anatomopathological means. The anti-tuberculosis treatment was effective.