| Title |
Bipolaris-induced orbital cellulitis. |
| Creator |
Jacobson, M.; Galetta, S.L.; Atlas, S.W.; Curtis, M.T.; Wulc, A.W. |
| Affiliation |
Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia. |
| Abstract |
We report a patient who rapidly developed unilateral proptosis and complete ophthalmoplegia following blunt trauma to the orbit. Computed tomography (CT) scan revealed a mass involving the sinuses and orbit with erosion of the cribriform plate. Biopsy of this suspected neoplasm revealed features consistent with allergic Aspergillus sinusitis, but cultures later grew a Bipolaris species. Our review of the literature suggests that when allergic fungal sinusitis involves the orbit, Bipolaris is a more commonly isolated organism than Aspergillus. Additionally, extraocular motility impairment and proptosis occur more frequently than visual loss. Treatment is controversial, but surgical drainage followed by corticosteroids is the most often recommended therapy. |
| Subject |
Adult; Cellulitis; Eye Infections, Fungal; Humans; Male; Mitosporic Fungi; Orbital Diseases |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
226125 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6545tqp/226125 |
