ABSTRACT
Mycetoma is a chronic granulomatous infection. Lower extremities are commonly involved. A 20-year-old male came with complaints of multiple sinuses on scalp, left eyelid swelling with a sinus and dystopia, since one year. On examination there was relative proptosis in left eye of 2 mm. Computed tomography scan showed soft tissue swelling of the pre-septal area of the left upper eyelid with orbital involvement. Magnetic resonance imaging showed increased left orbital volume and evident dystopia. Microbiology testing of the erosive scalp and lid lesions showed genus Nocardia, suggestive of actinomycetoma. This case is presented as it shows an unusual involvement of the orbit.
Subject(s)
Adolescent , Anti-Bacterial Agents/therapeutic use , Diagnosis, Differential , Eye Infections, Bacterial/diagnosis , Eye Infections, Bacterial/drug therapy , Eye Infections, Bacterial/microbiology , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Male , Mycetoma/diagnosis , Mycetoma/drug therapy , Mycetoma/microbiology , Nocardia asteroides/isolation & purification , Orbit/microbiology , Orbit/pathology , Orbital Diseases/diagnosis , Orbital Diseases/drug therapy , Orbital Diseases/microbiology , Tomography, X-Ray ComputedABSTRACT
Scytalidium dimidiatum is mainly responsible for human skin and nail infections but the mould has also been reported for invasive infections in immunocompromised individuals. We report a young immunocompetent individual diagnosed with invasive non-traumatic Scytalidium dimidiatum infection involving the left orbital cavity and maxillary sinus
Subject(s)
Humans , Male , Immunocompetence , Military Personnel , Orbit/microbiology , Maxillary Sinus/microbiology , Tomography, X-Ray ComputedABSTRACT
Se presenta la morbilidad y mortalidad de 24 pacientes con mucormicosis rinorbitaria, con un margen de edad de 38 a 65 años. Todos asociados a diabetes mellitus descompensada y algunos con enfermedades concomitantes como: hepatopatía alcolo-nutricional, insuficiencia renal, hipertensión arterial y artritis. La evaluación clínica mostró necrosis del área afectada y destrucción. El tratamiento médico se realizó con anfotericina B y quirúrgico, posterior al diagnóstico de mucormicosis. A pesar del tratamiento, se observó mortalidad de 54 por ciento.
Subject(s)
Humans , Male , Adult , Female , Middle Aged , Amphotericin B , Mucormycosis , Nose , Orbit/microbiology , Diabetes Mellitus , MucormycosisABSTRACT
Propósito: Comunicar nuestra experiencia con cirugía endoscópica en complicaciones orbitarias de infecciones paranasales. Material y método: Estudio retrospectivo de 11 pacientes, 6 con infección orbitaria y 5 con mucoceles, todos intervenidos por cirugía intranasal exclusivamente. Resultados: En todos los casos se resolvió el problema naso-sinusal y orbitario sin complicaciones ni secuelas originadas por el procedimiento quirúrgico