Tuberculosis presenting as dacryoadenitis in the USA

Harry Ross Powers, Mark Anthony Diaz, Julio C. Mendez

Research output: Contribution to journalArticlepeer-review


A 25-year-old Filipino woman living in the USA was evaluated for a 5-month history of left eye pain and a subsequent orbital mass. Histopathological analysis of the lacrimal mass showed a mixed inflammatory process with necrotising granulomas and positive cultures for Mycobacterium tuberculosis. She was treated with antituberculosis therapy, with resolution of symptoms. Tuberculosis dacryoadenitis is extremely rare in the USA and other developed countries. It requires a high degree of clinical suspicion with special attention to the patient's history to make the correct diagnosis. It can be treated successfully with antituberculosis therapy.

Original languageEnglish (US)
Article number231694
JournalBMJ case reports
Issue number11
StatePublished - Nov 1 2019


  • ophthalmology
  • TB and other respiratory infections

ASJC Scopus subject areas

  • Medicine(all)


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