A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp

Autor: Hegde Vidya, Puthran Neelam, Mahesha S, Anupama B
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Indian Journal of Ophthalmology, Vol 58, Iss 3, Pp 238-240 (2010)
Druh dokumentu: article
ISSN: 0301-4738
1998-3689
Popis: We report a rare case of orbital swelling presenting one year after head trauma. An initial fine needle aspiration cytology revealed it to be an infected organizing hematoma. However, broad-spectrum antibiotics did not resolve the infection and the orbital lesion continued to grow in size, as evaluated by magnetic resonance imaging. Incisional biopsies were done, which were reported as orbital actinomycosis. Patient has responded well to treatment with penicillin. This case is of interest due to the delayed presentation of an orbital complication of head trauma and the rare infection with actinomyces. It also highlights the importance of using appropriate antibiotics, as well as the need for long-term treatment.
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