The Irony of It All

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Identifier walsh_1995_s4_c1
Title The Irony of It All
Creator Steven L. Galetta, MD; Lawrence Kenyon, MD, PhD; Nicholas Volpe, MD; Anne L. Frattalli, MD, PhD; Michael Murray, MD; Eric C. Raps, MD
Affiliation (SLG) (LK) (NV) (ALF) (MM) (ECR) University of Pennsylvania Medical Center, Philadelphia, PA
Subject Myelodysplastic Syndromes; Mucor; Mucormycosis; Deferoxamine; Siderophores; Papilledema; Oculomotor Nerve Diseases; Hemianopsia
History A 64-year old female with a 4-year history of transfusion-dependent myelodysplasia noted right facial pain radiating from the angle of the jaw to the temporal area. The pain was attributed to sinus disease and empirically treated with oral antibiotics. Four weeks later, she awoke with NLP OD. Previous history significant for surgically-treated colon cancer, coronary artery disease and splenectomy Tx prednisone, deferoxamine and cardizem.
Pathology Infarcts of basal ganglia, thalami, midbrain and pons
Disease/Diagnosis Deferoxamine-associated angioinvasive mucormycosis
Clinical VA:NLP OD, 20/25 OS;.S.. Amaurotic right pupil; Swollen right retina and optic nerve.
Presenting Symptom Facial pain; Loss of vision OD
Neuroimaging CT; MRI
Treatment Anti-bacterial agents; Anticoagulants
Date 1995
References Attached
Language eng
Format application/pdf
Type Text
Source 21st Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Relation is Part of 1995 Walsh Session, April 8-9
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 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6sf2zxk
Setname ehsl_novel_fbw
ID 177921
Reference URL https://collections.lib.utah.edu/ark:/87278/s6sf2zxk
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