Intramuscular Dirofilariasis Mimicking an Orbital Metastasis in a Patient with Breast Cancer

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Intramuscular Dirofilariasis Mimicking an Orbital Metastasis in a Patient with Breast Cancer

We present the unusual case of a 74 year-old female with a history of breast cancer who presented with acute painless orbital swelling and vertical diplopia. MRI revealed a focal enhancing mass within the superior rectus muscle. As the concern for metastatic disease was high, surgical biopsy was performed and revealed an unusual mimicker of metastatic disease, the parasitic infection dirofilari...

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Orbital Dirofilariasis

in this case, oral prednisolone was required. In other case series, high dose oral prednisolone (1 mg/kg) was effective and tapered off over 12 weeks in a paradoxical reaction with TB lymphadenitis presented with tense swelling and pus in tissue [1]. As seen in our case, steroid therapy should be considered for extensive tissue damage due to paradoxical reaction. Although eyelid TB is very rare...

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ژورنال

عنوان ژورنال: Case Reports in Radiology

سال: 2012

ISSN: 2090-6862,2090-6870

DOI: 10.1155/2012/103154