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. 2022 Oct;74(Suppl 2):1718-1719.
doi: 10.1007/s12070-021-02863-8. Epub 2021 Sep 20.

A Case of Invasive Aspergillosis Involing Orbital Apex and Optic Nerve Sheath

Ajaiy Muthu  1 , R Madana Gopal  1 , N Deva Sooria  1
Affiliations

A Case of Invasive Aspergillosis Involing Orbital Apex and Optic Nerve Sheath

Ajaiy Muthu et al. Indian J Otolaryngol Head Neck Surg. 2022 Oct.

Abstract

Spread of fungal infection neurally is a rare phenomenon. Hereby we report a case of fifty year old diabetic female with primary optic atrophy and aspergillosis of orbital apex and optic nerve sheath. In this case fungal debris was found in sphenoid sinus, orbital apex and optic nerve sheath. This patient had mild proptosis on left eye. This is a rare condition of fungal growth in the optic nerve sheath. Radiological investigation revealed bony erosion in posterior wall of sphenoid sinus. Functional endoscopic sinus surgery was done and sample sent for KOH mount, fungal culture and histopathological examination revealing aspergillus fumigatus and post op follow up with antifungal therapy.

Keywords: Aspergillus; Computed tomography; Endoscopic sinus surgery; Immunodeficient; Magnetic resonance.

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Figures

Fig. 1
Fig. 1
Soft tissue density lesion in left orbital apex having mass effect over the optic nerve
Fig. 2
Fig. 2
Orbital pad of fat noted and a prominence seen along the orbital apex over the nerve sheath
See this image and copyright information in PMC

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