title: Orbital aspergillus infection mimicking a tumour: a case report.
abstract: A 14-year-old male presented to the neurosurgical clinic with swelling just above the right eye which had been growing slowly for the last eight years. The swelling first appeared following a non-penetrating trauma eight years ago. On examination it was a non-tender, non-erythematous, firm, round swelling causing marked proptosis and diplopia on downward gaze only. The visual acuity was intact. MRI showed an intraorbital, extraconal mass isointense on T1 and hypointense on T2 imaging. A diagnosis of orbital tumor was made. A white, friable mass consistent with meningioma was resected. However histopathology report later showed it to be an Aspergilloma. The patient was successfully treated with anti-fungal medicine and was disease-free at one year follow-up.
authors.affiliation: Department of Neurosurgery, The Aga Khan University Hospital, Stadium road, 3500, Karachi, 74800, Pakistan. ahsanzz@hotmail.com
authors.forename: Muhammad Ahsan
authors.initials: MA
authors.lastname: Zafar
authors.forename: Syeda Sidra
authors.initials: SS
authors.lastname: Waheed
authors.forename: S Ather
authors.initials: SA
authors.lastname: Enam