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Case Reports
Journal Article
Dacryocystitis due to sporothrix inoculated vis an unusual mode: Case report.
Medicine (Baltimore) 2018 June
RATIONALE: Sporotrichosis is the most common subcutaneous mycosis. It is caused by the dimorphic fungus Sporothrix schenckii. Ocular sporotrichosis is uncommon and has been rarely reported.
PATIENT CONCERNS: We describe a 34-year-old female who presented with a nodule increasing in size near the medial angle of the left eye. Originally, she was misdiagnosed with a dacryocyst space-occupying lesion, and the lesion was removed by surgery.
DIAGNOSES: Findings of fungal structures in the histopathological examination contributed to the diagnosis of Sporothrix dacryocystitis. Further culture of conjunctival secretions and contact lens storage solution was positive for Sporothrix.
INTERVENTIONS: She was treated with oral itraconazole, 200 mg by mouth twice daily.
OUTCOMES: After 3 months of treatment with oral itraconazole, culture of the conjunctival secretions was negative.
LESSONS: It is of paramount importance to clinically suspect mycosis, even in unusual locations or in the absence of the typical epidemiological history.
PATIENT CONCERNS: We describe a 34-year-old female who presented with a nodule increasing in size near the medial angle of the left eye. Originally, she was misdiagnosed with a dacryocyst space-occupying lesion, and the lesion was removed by surgery.
DIAGNOSES: Findings of fungal structures in the histopathological examination contributed to the diagnosis of Sporothrix dacryocystitis. Further culture of conjunctival secretions and contact lens storage solution was positive for Sporothrix.
INTERVENTIONS: She was treated with oral itraconazole, 200 mg by mouth twice daily.
OUTCOMES: After 3 months of treatment with oral itraconazole, culture of the conjunctival secretions was negative.
LESSONS: It is of paramount importance to clinically suspect mycosis, even in unusual locations or in the absence of the typical epidemiological history.
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