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CASE REPORT
Year : 2019  |  Volume : 33  |  Issue : 2  |  Page : 108-111

Isolated tubercular granuloma at orbital apex


1 Department of Otorhinolaryngology, IMS and SUM Hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
2 Department of Ophthalmology, IMS and SUM Hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
3 Medical Research Laboratory, IMS and SUM Hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

Correspondence Address:
Santosh Kumar Swain
Department of Otorhinolaryngology, IMS and SUM Hospital, Kalinga Nagar, Bhubaneswar - 751 003, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jms.jms_10_19

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Isolated tubercular granuloma at the orbital apex is an extremely rare clinical entity which may lead to difficulties in the diagnosis because of the similarities in the presentation to that of a neoplasm. We are presenting a case of 19-year-old male with isolated tubercular lesion at orbital apex. The diagnosis was confirmed by endoscopic biopsy and treated with antitubercular therapy. The diagnosis of isolated tubercular lesion at the orbital apex mainly depends on the clinician having a high index of suspicion. Although it is extremely rare, tuberculosis can be kept in mind and considered as a differential diagnosis of patients presenting with a solitary tumor at orbital apex to avoid unnecessary surgery.


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