Dr.Apurva Yadav, A20707
Phlyctenular Kerato-conjunctivitis is type 4 hypersenstivity reaction towards endogenous protein (mainly tubercular) represent as raised blebs / nodule around limbus, it may involve both conjunctiva and cornea.
Case report-: A 4year male presented in routine eye opd as a case of phlyctenular Kerato-conjunctivitis in left eye with no active clinical feature of tuberculosis. After getting admitted, few days later he started manifesting various symptoms, routine and special investigation like Esr, Chest X-Ray, Mantoux test, Sputum AFB ,CSF fluid examination were done. Child was diagnosed as a case of active pulmonary tuberculosis with dissemination in brain as tubercular meningitis. Child was started on antitubercular therapy , intravenous antibiotic, mild steroid and antibiotic eye drop for ocular symptoms and managed successfully.
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