Abstract
Anotherwisehealthyman inhisearly20spresentedwithachronic, intermittentlydischarging,nonhealing sinusover the leftuppereyelid of about 3months’ duration (Figure). Therewere no other associated visual or systemic concerns.History of a left upper eyelid abscess, incisedanddrainedelsewhere,waselicited.Previousmedical records were not available. Computed tomography imaging was suggestive of chronic osteomyelitis. Systemic investigation revealed multiple lung parenchymal infiltrates on chest radiography and isolationof acid-fast bacilli fromthe sputum.Adiagnosis of pulmonary tuberculosis was thus established.1-3 Standard antitubercular treatment with first-line drugs was instituted and the sinus discharge resolved completely while receiving treatment.
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