Mycobacterium fortuitum infection masquerading as an orbital mass.
Orbital infection with nontuberculous mycobacteria is rare and usually presents as an inflammatory process. We report a case of a 34-year-old male hospital worker with a positive purified protein derivative skin test who had Mycobacterium fortuitum infection that presented as an orbital mass causing diplopia. This presentation is unlike previously published reports and demonstrates the importance of orbital biopsy and tissue culture.
Ali
Sadia
S
Department of Infectious Disease, West Virginia University, Morgantown, West Virginia, USA.
Sivak-Callcott
Jennifer A
JA
Khakoo
Rashida
R
Williams
H James
HJ
D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002939:Ciprofloxacin; D003937:Diagnosis, Differential; D004172:Diplopia / Q000175:diagnosis; D004318:Doxycycline; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D019907:Mycobacterium fortuitum / Q000302:isolation & purification*; D009916:Orbital Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D009918:Orbital Neoplasms / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D014374:Tuberculin Test
D000890:Anti-Infective Agents; D002939:Ciprofloxacin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D004318:Doxycycline