Tuberculous Orbital Abscess Associated with Thyroid Tuberculosis

Purpose: to report an unusual presentation of tuberculosis. case report: a six-year old boy presented with left upper lid swelling of 15 days’ duration and an asymptomatic midline neck mass from 2 months ago. imaging studies, and microbiologic tests which demonstrated acid-fast bacilli in the fine needle aspirate of the thyroid mass, both confirmed a diagnosis of cold tuberculous thyroid abscess with presumed hematogenous spread to the orbit. the patient demonstrated marked improvement of both lesions with antitubercular drugs. conclusion: this case illustrates a very rare association of orbital and thyroid tuberculosis.