Orbital paracoccidioidomycosis

Case contributed by Fernando Eiji Higuti , 19 Aug 2018
Diagnosis almost certain
Changed by Yaïr Glick, 22 Aug 2018

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Diagnostic Certainty was set to .
Presentation was changed:
Right sided vision loss with cervical lymph node enlargement and eyelid palpable node.
Age changed from 7 to 7 years.
Body was changed:

This patient was submitted to a biopsy of cervical lymph node that showed chronic granulomatous inflammatory process and containing the budding yeast form of Paracoccidioides sp. with itthe characteristic aspect of "ship rudder wheel" ("pilot's wheel") appearance on microscopy. The ocular imparementOcular involvement is rare, but possible.

Case and images granted bycourtesy of Dr Eduardo Takehara

  • -<p>This patient was submitted to a biopsy of cervical lymph node that showed chronic granulomatous inflammatory process and Paracoccidioides sp. with it characteristic aspect of "ship rudder". The ocular imparement is rare, but possible.</p><p>Case and images granted by Dr Eduardo Takehara</p>
  • +<p>This patient was submitted to a biopsy of cervical lymph node that showed chronic granulomatous inflammatory process containing the budding yeast form of <em>Paracoccidioides</em> sp. with the characteristic "ship rudder wheel" ("pilot's wheel") appearance on microscopy. Ocular involvement is rare, but possible.</p><p>Case and images courtesy of Dr Eduardo Takehara</p>

Updates to Study Attributes

Findings was changed:

Contrast enhanced CT image shows an intraorbitalItraorbital enhancing mass lesion and two peripheral eyelid lesions with necrotic center and enhancing borders. There is also bone erosion onat the lateral aspect of the right zygomatic bone.

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