A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp

We report a rare case of orbital swelling presenting one year after head trauma. An initial fine needle aspiration cytology revealed it to be an infected organizing hematoma. However, broad-spectrum antibiotics did not resolve the infection and the orbital lesion continued to grow in size, as evalua...

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Main Authors: Hegde Vidya, Puthran Neelam, Mahesha S, Anupama B
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=3;spage=238;epage=240;aulast=Hegde
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author Hegde Vidya
Puthran Neelam
Mahesha S
Anupama B
author_facet Hegde Vidya
Puthran Neelam
Mahesha S
Anupama B
author_sort Hegde Vidya
collection DOAJ
description We report a rare case of orbital swelling presenting one year after head trauma. An initial fine needle aspiration cytology revealed it to be an infected organizing hematoma. However, broad-spectrum antibiotics did not resolve the infection and the orbital lesion continued to grow in size, as evaluated by magnetic resonance imaging. Incisional biopsies were done, which were reported as orbital actinomycosis. Patient has responded well to treatment with penicillin. This case is of interest due to the delayed presentation of an orbital complication of head trauma and the rare infection with actinomyces. It also highlights the importance of using appropriate antibiotics, as well as the need for long-term treatment.
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spelling doaj.art-0a9cf6f9e96d4f2c9f247645f4e37e052022-12-22T03:30:33ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892010-01-01583238240A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalpHegde VidyaPuthran NeelamMahesha SAnupama BWe report a rare case of orbital swelling presenting one year after head trauma. An initial fine needle aspiration cytology revealed it to be an infected organizing hematoma. However, broad-spectrum antibiotics did not resolve the infection and the orbital lesion continued to grow in size, as evaluated by magnetic resonance imaging. Incisional biopsies were done, which were reported as orbital actinomycosis. Patient has responded well to treatment with penicillin. This case is of interest due to the delayed presentation of an orbital complication of head trauma and the rare infection with actinomyces. It also highlights the importance of using appropriate antibiotics, as well as the need for long-term treatment.http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=3;spage=238;epage=240;aulast=HegdeDelayed presentationhead traumaorbital actinomycosisyoung adult
spellingShingle Hegde Vidya
Puthran Neelam
Mahesha S
Anupama B
A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp
Indian Journal of Ophthalmology
Delayed presentation
head trauma
orbital actinomycosis
young adult
title A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp
title_full A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp
title_fullStr A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp
title_full_unstemmed A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp
title_short A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp
title_sort rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp
topic Delayed presentation
head trauma
orbital actinomycosis
young adult
url http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=3;spage=238;epage=240;aulast=Hegde
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