A case of misconstrue proptosis
| Autor: | Vivian W-M Ho, Alan D. Hubbard, Patrick J. T. Chiam, Suboda Weerasinghe |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Lung Neoplasms Exophthalmos medicine.medical_treatment Biopsy Serous Retinal Detachment Article Diagnosis Differential Carcinoma Medicine Humans Etoposide Aged Lung business.industry General Medicine medicine.disease Surgery Radiation therapy medicine.anatomical_structure Cellulitis Orbital Neoplasms medicine.symptom Differential diagnosis business Tomography X-Ray Computed medicine.drug |
| Zdroj: | BMJ case reports. 2013 |
| ISSN: | 1757-790X |
| Popis: | This case illustrates an overlooked metastatic lung carcinoma to the orbit. The rapid onset of symptoms and oedema mimicked a cellulitis. The patient was initially treated with a broad-spectrum topical and intravenous antibiotic therapy. The white blood cell count (WBC) and C reactive protein (CRP) were normal. Compressive optic neuropathy and serous retinal detachment ensued. The initial chest x-ray revealed lung shadows; however, this was not reviewed. Eventually, CT of the chest was organised and showed a lung mass. The management of such a case remains a challenge for the uninitiated, and high index of suspicion is required to ensure early appropriate management. Despite complete resolution of the swelling with sequential chemotherapy (cisplatin and etoposide) and radiotherapy, the visual prognosis remained grim. |
| Databáze: | OpenAIRE |
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