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Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 332-334

Bilateral tuberculous dacryoadenitis

1 Department of Plastic, Hand Surgery and Burns, Maamouri Hospital, Nabeul; Medical University of Tunis Manar, Tunis, Tunisia
2 Department of Internal Medicine, Maamouri Hospital, Nabeul, Tunisia
3 Department of Anatomic Pathology, Maamouri Hospital, Nabeul, Tunisia

Correspondence Address:
Mohamed Ali Sbai
Department of Plastic, Hand Surgery and Burns, Maamouri Hospital, Nabeul
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmy.ijmy_57_20

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Tuberculosis is a real public health problem in developing countries. The ophthalmic form is a rare clinical entity. Dacryoadenitis presents an exceptional manifestation. We report the case of a 45-year-old female who presented with a 1-month history of painless bilateral dacryoadenitis with a normal initial work-up. Anatomopathological examination of the lacrimal glandular tissue showed a gigantic epithelioid granuloma with caseous necrosis confirming the diagnosis of tuberculosis. The search for a primary focus was negative. Evolution was good under anti-tuberculosis chemotherapy. The objective of this work is to think of the tuberculous etiology when having dacryoadenitis in an endemic country.

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