Abstract
A 75-year-old immunocompetent male presented with a right orbital cellulitis after a foreign body penetrating injury. He was taken for orbitotomy with foreign body removal and started on broad-spectrum antibiotics. Intra-operative cultures were positive for Cladophialophora bantiana, a mold known for causing brain abscesses with no prior reports of orbital invasion in the literature. Following culture results, the patient was managed with voriconazole and required multiple orbitotomies and washouts for infection control.
Keywords:
Cladophialophora bantiana; orbital cellulitis; phaeohyphomycosis.
MeSH terms
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Aged
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Antifungal Agents* / therapeutic use
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Ascomycota / isolation & purification
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Eye Foreign Bodies* / microbiology
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Eye Foreign Bodies* / surgery
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Eye Infections, Fungal* / diagnosis
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Eye Infections, Fungal* / drug therapy
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Eye Infections, Fungal* / microbiology
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Eye Injuries, Penetrating* / microbiology
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Eye Injuries, Penetrating* / surgery
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Humans
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Male
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Ophthalmologic Surgical Procedures
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Orbital Cellulitis* / diagnosis
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Orbital Cellulitis* / drug therapy
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Orbital Cellulitis* / etiology
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Orbital Cellulitis* / microbiology
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Orbital Cellulitis* / surgery
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Tomography, X-Ray Computed
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Voriconazole* / therapeutic use
Substances
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Antifungal Agents
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Voriconazole