Primary orbital aspergilloma of the exenterated orbit in an immunocompromized patient.
Aspergilloma is a fungal ball that usually forms in a preformed stationary cavity, mostly in lung and paranasal sinuses. We report a rare case of primary orbital Aspergilloma following exenteration for an invasive ocular surface squamous neoplasia, clinically mimicking a recurrence of the tumor. The fungal ball showed the presence of conidiophores with a globular head and a complete row of uni and biserrate phialides, suggestive of Aspergillus flavus species. The exposure to air in the orbit, possibly promoted the formation of conidiophores, which are normally seen when the organism is located in air cavities.
Naik
M N
MN
Division of Ophthalmic Plastic Surgery and Orbital Diseases and Ocular Oncology, L.V. Prasad Eye Institute, L.V. Prasad Marg, Banjara Hills, Hyderabad - 500 034, Andhra Pradesh, India.
Vemuganti
G K
GK
Honavar
S G
SG
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000188:drug therapy / Q000382:microbiology*; D001230:Aspergillus / Q000302:isolation & purification*; D005122:Exudates and Transudates / Q000382:microbiology; D015353:Eye Enucleation; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D005134:Eye Neoplasms / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D018307:Neoplasms, Squamous Cell / Q000150:complications / Q000601:surgery; D009916:Orbital Diseases / Q000188:drug therapy / Q000382:microbiology*; D014057:Tomography, X-Ray Computed
D000890:Anti-Infective Agents