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
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
45th Annual Frank Walsh Society Meeting
Relation is Part of
Case presented at the NANOS 2013 Walsh Session, February 10
