Cuterebral Ophthalmomyiasis Externa Presenting as Preseptal Cellulitis

نویسندگان

  • Yula A. Taormina
  • Caitlin Gannon
  • Josephine Nguyen
  • Jennifer Rhodes
  • Michael Foxworth
  • William Koch
  • Kelley Dodson
چکیده

DESCRIPTION A 13-month-old Caucasian female presented with erythema, swelling, and pain of the left periorbital region. On admission, her vital signs were normal, and complete blood count did not reveal abnormalities. Blood and eye cultures were collected. On physical examination, the left eye was erythematous and edematous starting at the left medial canthus, tracking across the upper lid to the lateral angle of the eye, and extending inferiorly to involve the medial portion of the lower lid. A pinpoint sinus tract was visible on the medial aspect of the upper eyelid and was actively draining serosanguinous fluid. Head computed tomography demonstrated findings consistent with left preseptal orbital cellulitis and a small developing phlegmon. Patient was started on intravenous broad-spectrum antibiotics but failed to improve after 3 days. Incision and drainage were performed, which revealed a live 1-cm larva.

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عنوان ژورنال:

دوره 13  شماره 

صفحات  -

تاریخ انتشار 2013