Identifier |
walsh_2013_s1_c5-1 |
Title |
No Rhabdo? |
Creator |
Mark R. Melson |
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 |
application/pdf |
Type |
Text |
Source |
45th Annual Frank Walsh Society Meeting |
Relation is Part of |
Case presented at the NANOS 2013 Walsh Session, February 10 |
Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6339 |
Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6d53jhf |
Setname |
ehsl_novel_fbw |
ID |
179179 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6d53jhf |