Unilateral orbital inflammation in a child after a jellyfish sting to the lower extremities.
A 3-year 10-month-old child initially developed locally recurrent cutaneous eruptions within the first 2 weeks after sustaining a jellyfish sting to her lower extremities. After 5 asymptomatic weeks, she developed unilateral orbital inflammation that did not respond to systemic antibiotics, antihistamines, or steroids. Imaging revealed a rapidly growing mass of the right lacrimal gland. Urgent anterior orbitotomy was performed and the lacrimal gland was biopsied. Histopathologic diagnosis revealed sclerosing dacryodenitis consistent with orbital inflammatory syndrome and/or an immune response to an antigen challenge.
Kapamajian
Michael A
MA
Department of Ophthalmology and Visual Sciences, The University of Illinois Eye and Ear Infirmary, Chicago, Illinois 60612, USA. mkapa17@yahoo.com
Ahmad
Amjad
A
Burnett
Joseph W
JW
Burnett
Henry W
HW
Frenkel
Shahar
S
D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D002675:Child, Preschool; D003064:Cnidarian Venoms; D003607:Dacryocystitis / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology; D007866:Leg; D008279:Magnetic Resonance Imaging; D016727:Orbital Pseudotumor / Q000175:diagnosis / Q000209:etiology*; D012598:Sclerosis; D037401:Scyphozoa
D003064:Cnidarian Venoms