Disseminated blastomycosis presenting as a retro-orbital mass
Keyword(s):
A 43-year-old man with history of non-Hodgkins’ lymphoma presented with unilateral eye swelling, pain and vision deficits which had been progressive over 2 months. Symptoms followed a presumed bacterial pneumonia 4 months prior. Imaging demonstrated retro-orbital soft tissue swelling with bony erosion concerning for a mass; surgical decompression was performed with histology confirming disseminated Blastomyces dermatitidis. Symptoms responded rapidly to antifungal therapy with amphotericin followed by itraconazole. Orbital dissemination of blastomycosis is extremely rare; accurate diagnosis requires tissue biopsy to facilitate timely targeted therapy and minimise morbidity.
2020 ◽
Vol 32
(4)
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pp. 621-625
Keyword(s):
1999 ◽
Vol 117
(3)
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pp. 132-135
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Keyword(s):
1989 ◽
Vol 82
(6)
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pp. 349-350
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