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
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
