Rhinoorbitocerebral Actinomycosis

Nithyanandam, Suneetha; D’Souza, Ophelia; Rao, Shailesh S.; Battu, Ravindra; George, Sony

doi:10.1097/00002341-200103000-00012

Cited by 19 publications

(9 citation statements)

References 4 publications

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“…The time of presentation may vary from within few weeks to a few months. [34] Our patient presented after an unusual delay of one year. In hindsight, it is felt that our patient probably had a primary inoculation at the time of scalp avulsion a year prior.…”

Section: Discussionmentioning

confidence: 94%

“…[6] Although patients have presented varyingly with acute orbital abscess and painful ophthalmoplegia,[34] the usual presentation is as a painless proptosis with restricted extra-ocular movements, often mimicking a malignancy. In our patient, it is likely that the intra-orbital extent of the lesion was insufficient to produce globe displacement.…”

Section: Discussionmentioning

confidence: 99%

“…While trauma is the commonest predisposing factor,[ 5 ] orbital involvement is often secondary to infections of the paranasal sinuses, or the ocular adnexal structures or even the infra-temporal fossa. [ 6 ] Although patients have presented varyingly with acute orbital abscess and painful ophthalmoplegia,[ 3 4 ] the usual presentation is as a painless proptosis with restricted extra-ocular movements, often mimicking a malignancy. In our patient, it is likely that the intra-orbital extent of the lesion was insufficient to produce globe displacement.…”

Section: Discussionmentioning

confidence: 99%

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

Hegde

Puthran

Mahesha

et al. 2010

Indian J Ophthalmol

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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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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Hegde

Puthran

Mahesha

et al. 2010

Indian J Ophthalmol

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“…The most frequent saprophyte in man is Actinomyces israelii , typically found in the mouth, tonsils and dental caries. In 60% of the cases, actinomycosis affects the cervicofacial structures [2,3,4] and is mainly localised in the area of the lacrimal canaliculi [5,6,7,8]. In cervicofacial actinomycosis, the infection spreads toward adjacent muscles and bones and may in some cases extend as far as the spinal column and cranium.…”

Section: Introductionmentioning

confidence: 99%

Orbital Actinomycosis Associated with Painful Ophthalmoplegia

Pagliani

Campi

Cavallini³

2006

Ophthalmologica

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Purpose: To evaluate a case of orbital actinomycosis presenting as Tolosa-Hunt syndrome in a patient with a history of carcinomas of the kidney and breast. Methods: A woman with ingravescent painful ophthalmoplegia was brought to our observation. Brain and orbital and total body CT scans showed the presence of two orbital neoformations and a miliary pattern of dissemination in the lung. The initial diagnosis, which pointed to secondary localisations of the previous kidney and breast tumours, was changed to orbital and pulmonary actinomycosis following microbiological analysis of lung biopsy samples. Results: Prolonged antibiotic therapy with synthetic penicillin completely resolved the case. Conclusions: Actinomycosis is a very rare infection that may also affect the orbit and its association with a pulmonary dissemination is highly unusual. It is important to consider this type of infection among the causes of painful ophthalmoplegia.

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“…Actinomyces species are anaerobic Gram-positive pleomorphic rods that are commensals of the oral flora and facultative pathogens 1. In ophthalmological practice, Actinomyces are typically associated with canaliculitis.…”

mentioning

confidence: 99%