Saudi Journal of Ophthalmology

Saudi Journal of Ophthalmology

Volume 31, Issue 3, July–September 2017, Pages 193-195
Saudi Journal of Ophthalmology

Case Report
Concomitant orbital aspergillosis and mucormycosis in a 17 months old immunocompetent child

https://doi.org/10.1016/j.sjopt.2017.05.006Get rights and content
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Abstract

Isolated multiple orbital fungal infection (aspergillosis & mucormycosis) is extremely rare disease in immunocompetent individuals and especially in children. Placement of prosthetic device during the surgery could be one of the risk factors. The presentation is usually masquerading other entities which make early diagnosis a challengeable. This case presenting a 17 months old immunocompetent child who is diagnosed with isolated multiple orbital fungal infection: aspergillosis & mucormycosis. The presentation was mimicking orbital cellulitis and chronic dacryocystitis. The definitive diagnosis was made by tissue biopsy. The child was managed by surgical debridement and IV amphotericin B liposomal. High index of suspicion to fungal infection should be considered after surgical intervention with insertion prosthetic materials. To the best of our knowledge, orbital aspergillosis in immunocompetent young children is exceptionally rare.

Keywords

Isolated orbital fungal infection
Mucormycosis
Aspergillosis
Immunocompetent child

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Peer review under responsibility of Saudi Ophthalmological Society, King Saud University.