TY - JOUR
T1 - Orbital cellulitis in pulmonary tuberculosis
T2 - A case report
AU - Lestari, Ni Made Inten
AU - Fatmariyanti, Susy
AU - Soebagjo, Hendrian D.
AU - Kurniati, Neneng Dwi
AU - Lutfi, Delfitri
N1 - Funding Information:
We acknowledge all the staff in the Department of Ophthalmology, Dr. Soetomo Hospital, Faculty of Medicine, Universitas Airlangga. We also thank the participants and volunteers for their support in this study.
Publisher Copyright:
© 2020, African Traditional, Herbal Medicine Supporters Initiative. All rights reserved.
PY - 2020/7/31
Y1 - 2020/7/31
N2 - Background: Orbital cellulitis in immunocompetent patients with pulmonary tuberculosis (TB) is rare or unheard of. If left untreated, patients might lose their sight and potentially their life. This case describes orbital cellulitis due to extended spectrum β-lactamases (ESBLs)-producing bacteria in a patient with pulmonary tuberculosis. Materials and Methods: We report the case of a 47-year-old man referred to the emergency room in our hospital with swollen and painful right eye and face for 8 days. On admission, the patient condition was drowsy, pale, and feverish. Visual acuity of the right eye was only light perception with limited eye movement in all directions. The CT scan showed orbital sub-tissue swelling and sub-periosteal abscess on the upper lateral orbital wall. On day 5, pus culture was confirmed as extended spectrum β-lactamases (ESBLs) producing bacteria and Ziehl-Neelson staining test revealed acid fast bacillus with pulmonary inflammation highly pathognomonic of tuberculosis. Results: The patient showed significant clinical improvement on day 11. The patient was discharged on the day 15 in stable general condition with improved visual acuity on the right eye (capable of capturing hand movement). Conclusion: ESBL producing bacteria associated orbital cellulitis in tuberculosis patient potentially elevated the morbidity and possibly result in severe loss of visual acuity. Early diagnosis and treatment could reverse this comorbidity and produce a better outcome for affected patients.
AB - Background: Orbital cellulitis in immunocompetent patients with pulmonary tuberculosis (TB) is rare or unheard of. If left untreated, patients might lose their sight and potentially their life. This case describes orbital cellulitis due to extended spectrum β-lactamases (ESBLs)-producing bacteria in a patient with pulmonary tuberculosis. Materials and Methods: We report the case of a 47-year-old man referred to the emergency room in our hospital with swollen and painful right eye and face for 8 days. On admission, the patient condition was drowsy, pale, and feverish. Visual acuity of the right eye was only light perception with limited eye movement in all directions. The CT scan showed orbital sub-tissue swelling and sub-periosteal abscess on the upper lateral orbital wall. On day 5, pus culture was confirmed as extended spectrum β-lactamases (ESBLs) producing bacteria and Ziehl-Neelson staining test revealed acid fast bacillus with pulmonary inflammation highly pathognomonic of tuberculosis. Results: The patient showed significant clinical improvement on day 11. The patient was discharged on the day 15 in stable general condition with improved visual acuity on the right eye (capable of capturing hand movement). Conclusion: ESBL producing bacteria associated orbital cellulitis in tuberculosis patient potentially elevated the morbidity and possibly result in severe loss of visual acuity. Early diagnosis and treatment could reverse this comorbidity and produce a better outcome for affected patients.
KW - Extended spectrum β-lactamases
KW - Orbital cellulitis
KW - Pulmonary tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85090673921&partnerID=8YFLogxK
U2 - 10.21010/ajid.v14i2.8
DO - 10.21010/ajid.v14i2.8
M3 - Article
AN - SCOPUS:85090673921
SN - 2006-0165
VL - 14
SP - 48
EP - 52
JO - African Journal of Infectious Diseases
JF - African Journal of Infectious Diseases
IS - 2
ER -