| Identifier |
walsh_2013_s1_c5 |
| 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 |
2013-02-10 |
| References |
Attached |
| 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: NOVEL http://NOVEL.utah.edu |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
North American Neuro-Ophthalmology Association (NANOS), Copyright 2013. For further information regarding the rights to this collection, please visit http://library.med.utah.edu/NOVEL |
| ARK |
ark:/87278/s6f7994w |
| Contributor Primary |
Bruce, Beau B |
| Contributor Secondary |
Phillips, Paul H |
| Setname |
ehsl_novel_fbw |
| ID |
179140 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6f7994w |
