ABSTRACT
We report a rare case of massive orbital myiasis following recent lid injury, occurring in the empty socket of an elderly lady, who had concurrent scalp pediculosis. The orbital myiasis was effectively treated with the broad-spectrum antiparasitic agent, ivermectin, thus precluding the need for an exploratory surgery. Ivermectin was also effective in managing the concurrent scalp pediculosis.
Subject(s)
Animals , Antiparasitic Agents/therapeutic use , Eye Infections, Parasitic/drug therapy , Female , Follow-Up Studies , Humans , Ivermectin/therapeutic use , Lice Infestations/complications , Myiasis/drug therapy , Orbit/parasitology , Orbital Diseases/drug therapy , Pediculus , Scalp Dermatoses/complications , Scalp Dermatoses/parasitologyABSTRACT
We report a rare case of orbital swelling presenting one year after head trauma. An initial fine needle aspiration cytology revealed it to be an infected organizing hematoma. However, broad-spectrum antibiotics did not resolve the infection and the orbital lesion continued to grow in size, as evaluated by magnetic resonance imaging. Incisional biopsies were done, which were reported as orbital actinomycosis. Patient has responded well to treatment with penicillin. This case is of interest due to the delayed presentation of an orbital complication of head trauma and the rare infection with actinomyces. It also highlights the importance of using appropriate antibiotics, as well as the need for long-term treatment.