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Year : 2018  |  Volume : 1  |  Issue : 1  |  Page : 28-30

A rare case of isolated retro-orbital fungal granuloma

Department of ENT and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India

Correspondence Address:
Satvinder Singh Bakshi
House Number B2, Shree Pushpa Complex, 15th Bharathi Street, Ananda Nagar, Puducherry - 605 009
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JHNP.JHNP_5_18

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Aspergillus versicolor has been rarely associated with endophthalmitis and epicorneal aspergilloma. We report here the first case of retro-orbital fungal granuloma caused by Aspergillus versicolor. A 52 year old male presented with protrusion associated with pain and watering of the left eye for six months duration. Left eye examination showed axial proptosis and fundus examination revealed blurring of the nasal disc margin. Plain CT of orbits showed a retrobulbar intraconal lesion in the left orbit. The patient was taken up for endoscopic orbital and optic nerve decompression with debulking or retro-orbital mass under general anaesthesia. Culture on Sabaraoud's dextrose agar grew Aspergillus species. The postoperative period was uneventful and the patient was started on Oral itraconazole 100mg twice daily and over the course of two months the left eye proptosis reduced significantly. Successful treatment of aspergillosis requires prompt diagnosis and rapid institution of therapy. Endoscopic clearance of the disease combined with oral antigfungals is the appropriate modality of therapy.

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