Presentation
Right sided vision loss with cervical lymph node enlargement and eyelid palpable node.
Patient Data
Age: 7 years
Gender: Female
From the case:
Orbital paracoccidioidomycosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/70744/annotated_viewer_json?lang=us"}
Itraorbital enhancing mass lesion and two peripheral eyelid lesions with necrotic center and enhancing borders. There is also bone erosion at the lateral aspect of the right zygomatic bone.
Case Discussion
This patient was submitted to a biopsy of cervical lymph node that showed chronic granulomatous inflammatory process containing the budding yeast form of Paracoccidioides sp. with the characteristic "ship rudder wheel" ("pilot's wheel") appearance on microscopy. Ocular involvement is rare, but possible.
Case and images courtesy of Dr Eduardo Takehara
Unable to process the form. Check for errors and try again.