No Rhabdo?

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Identifier walsh_2013_s1_c5
Title No Rhabdo?
Creator Melson, Mark R
Subject Orbit; Infection; Zygomycosis; Pediatric
Presenting Symptom A 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly.
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.
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.
Neuroimaging CT Scan
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
Treatment Amphotericin B; Oral Posaconazole; Surgical Debulking; Otolaryngology; Oculoplastic Surgery
References Attached
Relation is Part of Case presented at the NANOS 2013 Walsh Session, February 10
Contributor Primary Bruce, Beau B
Contributor Secondary Phillips, Paul H
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2013-02-10
Type Text
Format application/pdf
Source 45th Annual Frank Walsh Society Meeting
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
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6f7994w
Setname ehsl_novel_fbw
Date Created 2013-12-12
Date Modified 2021-05-06
ID 179140
Reference URL https://collections.lib.utah.edu/ark:/87278/s6f7994w
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