| Identifier |
walsh_2013_s1_c5-2 |
| Title |
No Rhabdo? |
| Creator |
Mark R. Melson |
| Affiliation |
Vanderbilt University School of Medicine, Nashville, TN |
| Subject |
Orbit; Infection; Zygomycosis; Pediatric |
| History |
A 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis and was subsequently referred to an orbital surgeon elsewhere. A computed tomography scan by the orbital surgeon revealed a mass in the right orbit. |
| Pathology |
Final pathology from the initial biopsy showed granulomatous infiltration with fibrosis and fungal elements identified consistent with zygomycosis. |
| Disease/Diagnosis |
Orbital zygomycosis in an immunocompetent child |
| Clinical |
Computed tomography scan by the orbital surgeon revealed a mass in the right orbit; visual acuity was 20/40 OD and 20/20 OS. On the right, there was limitation of infraduction and abduction, 3 mm of relative proptosis, mild periorbital edema and superior displacement of the globe. |
| Presenting Symptom |
A 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. |
| Neuroimaging |
CT Scan |
| Treatment |
Amphotericin B; Oral Posaconazole; Surgical Debulking; Otolaryngology; Oculoplastic Surgery |
| Date |
2013-02 |
| References |
1. Margo C, Rabinowicz I, Kwon-Chung KJ, Zimmerman LE. Subacute Zygomycosis of the Orbit. Arch Ophthalmol. 1983;101(10):1580-1585. 2. Seiff SR, Choo PH, Carter SR. Role of local amphotericin B therapy for sino-orbital fungal infections. Ophthal Plast Reconstr Surg 1999;15 (1) 28- 31. 3. Rutar T, Cockerham KP. Periorbital zygomycosis (mucormycosis) treated with posaconazole. Am J Ophthalmol 2006;142 (1) 187- 188. |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Source |
45th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2013 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6933qsg |
| Setname |
ehsl_novel_fbw |
| ID |
179234 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6933qsg |
