Frozen overnight: Acute orbital apex syndrome caused by aspergillosis

2022 ◽  
pp. 112067212110734
Author(s):  
Francesco Pellegrini ◽  
Erika Mandarà ◽  
Altin Stafa ◽  
Salvatore Meli
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Retrospective Case ◽  
Acute Presentation ◽  
Hunt Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Language Literature

Purpose to describe a rare case of orbital apex syndrome caused by aspergillosis with acute presentation. Case description retrospective case report of a 70-year-old man who developed unilateral ophthalmoplegia overnight. He was initially given the diagnosis of suspect Tolosa-Hunt syndrome, but biopsy of the involved tissue showed aspergillosis. Conclusion orbital apex syndrome caused by fungal disease is a life-threatening condition that should be promptly diagnosed and treated. It may present acutely and should not be misdiagnosed as Tolosa-Hunt syndrome. To our knowledge this is the first such case report in the English ophthalmic language Literature.

scholarly journals RARE CASE OF FETAL MIDGUT VOLVULUS DETECTED BY WHIRPOOL SIGN ON ROUTINE ANTENATAL ULTRASOUND.

2021 ◽  
pp. 66-67
Author(s):  
Meghna Barmase
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
Rare Case ◽  
Surgical Intervention ◽  
Midgut Volvulus ◽  
Antenatal Ultrasound ◽  
Caesarean Section Delivery ◽  
Threatening Condition ◽  
Life Threatening ◽  
Mesenteric Vessels

Fetal midgut volvulus is an extremely rare life threatening condition with poor prognosis. It often remains undiagnosed on antenatal ultrasound and manifest as intestinal obstruction in both antenatal and post natal period. Following is the case report of intrauterine midgut volvulus causing proximal obstruction of stomach and duodenum. The infant survived postnatally after caesarean section delivery with prompt and appropriate surgical intervention. Twisting of bowel loops around the mesenteric vessels suggestive of whirpool sign was the most signicant clue leading to the diagnosis of volvulus.

scholarly journals Heterotopic pregnancy: a case report

2017 ◽  
Vol 6 (5) ◽  
pp. 2121 ◽  
Author(s):  
Amit Gupta ◽  
Aanchal Gupta ◽  
Bharti Gupta ◽  
Neelam Mahajan ◽  
Anju Vij ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Heterotopic Pregnancy ◽  
Assisted Reproductive Technique ◽  
Threatening Condition ◽  
Life Threatening ◽  
Reproductive Technique

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation.

scholarly journals Orbital Aspergillosis Mimicking Giant Cell Arteritis

2021 ◽  
Vol 16 (1) ◽  
pp. 262-270
Author(s):  
Mae-Lynn Catherine Bastion ◽  
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Optic Neuropathy ◽  
Elderly Person ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Asian Populations ◽  
Intravenous Corticosteroid ◽  
Threatening Condition ◽  
Life Threatening

Orbital aspergillosis is a very rare, debilitating disease which can present solely with painful optic neuropathy and mimic giant cell arteritis in an elderly person. We report a case of orbital aspergillosis in a 65-year-old Malay man who presented with unilateral gradual blurring of vision and ipsilateral headache. Our initial working diagnosis was giant cell arteritis. Unfortunately, patient’s condition worsened with intravenous corticosteroid and developed into orbital apex syndrome. Imaging and biopsy results showed evidence of orbital aspergillosis. Patient lost his eyesight due to the wrong initial working diagnosis. This report is to emphasize that although giant cell arteritis is also a sight and life-threatening condition, it is rare among Asian populations. We need to take into account the epidemiology of the disease and look into any other differential diagnoses when the presentation is atypical.

scholarly journals Orbital apex syndrome due to scopulariopsis: a rare case report

2015 ◽  
pp. 303-305
Author(s):  
Varghese Nevil ◽  
R. Suma ◽  
Gopinatha Arjun ◽  
Pradeep Pooja
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Rare Case Report

scholarly journals A rare case of heterotopic pregnancy: case report

2021 ◽  
Vol 10 (5) ◽  
pp. 2101
Author(s):  
Nisi Patel ◽  
Komal Patel ◽  
Bipin R. Shah
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Cardiac Activity ◽  
Heterotopic Pregnancy ◽  
Assisted Reproductive Technique ◽  
Threatening Condition ◽  
Life Threatening ◽  
Reproductive Technique

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with intrauterine gestation without cardiac activity and unruptured tubal ectopic.

scholarly journals An unusual presentation of sphenoid Candida fungal ball: a case report

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Geng Ju Tuang ◽  
Farah Dayana Zahedi ◽  
Izzah Akashah ◽  
Jennifer Peak Hui Lee ◽  
Zainal Azmi Zainal Abidin
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Immune Status ◽  
Immunocompetent Patient ◽  
Unusual Presentation ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Fungal Ball ◽  
Life Threatening

Abstract The clinical presentation of a sphenoid fungal ball (FB) is often non-specific and tends to be overlooked, particularly in hosts with an intact immune status. Rarely, potentially life-threatening complications may arise, owning its anatomical characteristics with contiguous structures. Herein, we present an unusual case of sphenoid FB complicated with orbital apex syndrome in an immunocompetent patient. The diagnosis dilemma and subsequent management are further discussed.

scholarly journals Orbital apex syndrome in COVID-19 patient, a case report

2021 ◽  
pp. 101006
Author(s):  
Masood Bagheri ◽  
Ahad Jafari ◽  
Sasan Jafari
Keyword(s):  
Case Report ◽  
Orbital Apex ◽  
Orbital Apex Syndrome
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