ABSTRACT
Orbital teratoma in a newborn produces rapid and unilateral proptosis, which, combined with poor eyelid closure, may lead to corneal exposure and vision loss. Early surgical excision of the mass is recommended to preserve visual function. We report a case of an orbital teratoma masquerading as a lymphangioma in 6-month-old girl. The lesion was entirely excised using a transconjunctival approach with good cosmetic and functional results.
Subject(s)
Exophthalmos/diagnosis , Lymphangioma/diagnosis , Orbital Neoplasms/diagnosis , Teratoma/diagnosis , Biopsy , Diagnosis, Differential , Exophthalmos/surgery , Female , Humans , Infant , Magnetic Resonance Imaging , Orbital Neoplasms/surgery , Teratoma/surgery , UltrasonographyABSTRACT
We report the first documented case of a posttraumatic fungal keratitis caused by Neosartorya udagawae. The patient was empirically treated with fluconazole until a corneal scraping grew an Aspergillus fumigatus-like fungus, and itraconazole therapy was then established. A sequence-based approach assigned the isolate to the species. Five months after completion of antifungal therapy, endophthalmitis occurred and orbital exenteration was necessary.
