title: Disseminated orbital actinomycetoma: a case report.
abstract: Mycetoma is a chronic granulomatous infection. Lower extremities are commonly involved. A 20-year-old male came with complaints of multiple sinuses on scalp, left eyelid swelling with a sinus and dystopia, since one year. On examination there was relative proptosis in left eye of 2 mm. Computed tomography scan showed soft tissue swelling of the pre-septal area of the left upper eyelid with orbital involvement. Magnetic resonance imaging showed increased left orbital volume and evident dystopia. Microbiology testing of the erosive scalp and lid lesions showed genus Nocardia, suggestive of actinomycetoma. This case is presented as it shows an unusual involvement of the orbit.
authors.affiliation: D. Y. Patil Medical College and Research Center, Navi Mumbai, India.
authors.forename: Nita Umesh
authors.initials: NU
authors.lastname: Shanbhag
authors.forename: Sumita
authors.initials: S
authors.lastname: Karandikar
authors.forename: Pooja Anil
authors.initials: PA
authors.lastname: Deshmukkh
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008271:Mycetoma / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D009616:Nocardia asteroides / Q000302:isolation & purification*; D009915:Orbit / Q000382:microbiology* / Q000473:pathology; D009916:Orbital Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents