scholarly journals Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmad M. Mansour ◽  
Bachir Abiad ◽  
Fouad I. Boulos ◽  
Ramzi Alameddine ◽  
Fadi C. Maalouf ◽  
...  
Keyword(s):  
Case Report ◽  
Local Excision ◽  
Rapid Growth ◽  
Ciliary Body ◽  
Inflammatory Cells ◽  
Toxocara Canis ◽  
Unusual Presentation ◽  
Medial Rectus ◽  
Ocular Toxocariasis ◽  
History Of

Purpose. To discuss an unusual presentation of ocular toxocariasis.Methods. Case report.Results. A 40-year-old woman presented with decreased vision in the left eye with a long history of recurrent red eye from uveitis. Eosinophilia and positive ELISA titers forToxocara canisfavored the diagnosis of ocular toxocariasis. Over 3 months, an anterior scleral mass had a rapid growth raising the possibility of medulloepithelioma, which rarely can mimic uveitic syndromes. Surgical plan changed from local excision to enucleation. Histopathology demonstrated a large homogeneous mass of chronic inflammatory cells with inflammation of the overlying thinned out sclera, medial rectus insertion, and limbal cornea. The triad of peripheral granuloma, eosinophilia, and positive blood serology established the diagnosis of ocular toxocariasis.Conclusions. Ocular toxocariasis can mimic ocular malignancy such as medulloepithelioma in adults and rarely presents as an anterior scleral mass.

Ocular Toxocariasis Presenting as Endophthalmitis in a Young Adult Intravenous Drug User

2020 ◽  
pp. 247412642094658
Author(s):  
Pali P. Singh ◽  
Cason B. Robbins ◽  
Henry L. Feng ◽  
Durga S. Borkar ◽  
Sharon Fekrat
Keyword(s):  
Drug User ◽  
Intravenous Drug User ◽  
Toxocara Canis ◽  
Intravenous Drug ◽  
Intravenous Drug Use ◽  
Ocular Toxocariasis ◽  
Fundus Imaging ◽  
Common Causes ◽  
History Of ◽  
Optical Coherence Tomography Imaging

Purpose: This report describes the diagnosis of ocular toxocariasis presenting as endophthalmitis in an adult intravenous drug user. Methods: A case is reported. Results: Fundus imaging showed numerous white opacities obscuring the macula. Toxocara canis serology was reactive with an enzyme immunoassay titer of 1:2 (positive ≥ 1:32). Findings from bacterial and fungal cultures were negative, and vitrectomy cytology revealed no organisms. Postoperatively, serial optical coherence tomography imaging demonstrated a slight decrease in size of an intraretinal hyperreflective lesion in the macula. Conclusions: Owing to a variety of presentations, ocular toxocariasis can be challenging to diagnose. In a patient with a history of intravenous drug use where fungal and bacterial organisms are more common causes of endophthalmitis, it is important to have a wide differential of causative organisms, particularly in the context of negative culture results and a worsening clinical examination.

scholarly journals Ocular toxocariasis caused by toxocara canis in an adult woman. Case report

Case reports ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. 4-9 ◽  
Author(s):  
German Santiago Barahona Botache ◽  
Mario Javier Olivera
Keyword(s):  
Case Report ◽  
Toxoplasma Gondii ◽  
Taenia Solium ◽  
Toxocara Canis ◽  
Adult Woman ◽  
Toxocara Cati ◽  
Ocular Toxocariasis ◽  
Pars Planitis

Introducción. La toxocariasis es una zoonosis producida por las larvas de los nematodos Toxocara canis y Toxocara cati, parásitos intestinales de los cánidos y los félidos, respectivamente.Presentación del caso. Paciente femenino de 22 años de edad, procedente de Caquetá, Colombia, con un cuadro de 3 meses de evolución con pérdida de visión en ojo izquierdo, acompañada de dolor ocular, diplopía, fotofobia y ojo rojo bilateral, quien presenta desprendimiento de retina en ojo izquierdo diagnosticado por ecografía. La mujer asiste a oftalmología, donde se hace diagnóstico diferencial con retinoblastoma y pars planitis. Se inicia manejo sintomático con corticoides orales y tópicos, con mejoría de la sintomatología, pero persistencia de pérdida de la agudeza visual.Discusión. Al revisar historial de antecedentes socioeconómicos, la paciente convive con perros y gatos, por lo que se piensa en toxocariasis ocular. En el cuadro hemático se observa ligera leucocitosis y linfocitosis, sin eosinofilia. La determinación de anticuerpos anti-Toxoplasma gondii y anti-cisticerco de Taenia solium resultaron negativas, al igual que el VDRL. El test de ELISA para T. canis fue positivo, con unos títulos IgG de 1:64 (positivo ≥1:32, especificidad >90%). Se inicia manejo con corticoide oftálmico, sistémico, albendazol y vitrectomía. Con la intervención quirúrgica se libera banda vítrea, logrando la desaparición de la diplopía, pero persiste granuloma periférico residual, el cual será intervenido por oftalmología.Conclusiones. Dada la posibilidad de ser confundida con un retinoblastoma —una neoplasia maligna que puede requerir la enucleación del ojo—, el conocimiento de esta forma de presentación de la toxocariasis es de suma importancia para los clínicos. 

scholarly journals Pyogenic Granuloma of Lower Lip: An Unusual Presentation

2021 ◽  
Vol 2 (1) ◽  
pp. 24-27
Author(s):  
Amita Rai ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha ◽  
Ashish Shrestha
Keyword(s):  
Case Report ◽  
Pyogenic Granuloma ◽  
Tissue Response ◽  
Unusual Presentation ◽  
Anterior Maxilla ◽  
Lower Lip ◽  
Positive History ◽  
The Third ◽  
Fourth Decade ◽  
History Of

Pyogenic granuloma is a benign inflammatory hyperplasia of connective tissue. It depicts an overzealous tissue response to a known stimulus or injury and is commonly found in the gingiva, especially in the anterior maxilla, and rarely on lips, oral mucosa, and tongue. It is commonly seen during the second, third, and fourth decade in females, with predilection in the third decade. This case report depicts the unusual presentation of pyogenic granuloma of the lower lip in an 11-year-old male child following a positive history of trauma and lip biting, which was successfully managed by excision under local anesthesia.

scholarly journals An Unusual Presentation of a Child with Scurvy: A Case Report

2021 ◽  
Vol 08 (02) ◽  
pp. 12-14
Author(s):  
BS Mahapatra ◽  
Keyword(s):  
Developing Countries ◽  
Case Report ◽  
Early Diagnosis ◽  
Knee Joint ◽  
Pediatric Patients ◽  
Lower Limbs ◽  
Unusual Presentation ◽  
Cortical Thinning ◽  
History Of ◽  
High Index Of Suspicion

Nutritional deficiency is very common in pediatric patients, especially in developing countries. A 4-year-old Maldivian boy presented with pain in major joints of lower limbs since two months and was unable to stand and walk since one month. There was no history of fever or fall. The growth was average with mild pallor. There was no joint swelling. Xray knee joint showed epiphyseal separation, cortical thinning suggesting a radiological diagnosis of Scurvy and after Vit C supplementation the child showed clinical and radiological improvement in two weeks. So, a high index of suspicion is required for early diagnosis and treatment.

scholarly journals Unusual presentation of orbital cysticercosis-ptosis, diminution of vision and medial rectus weakness: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 7025 ◽  
Author(s):  
Bharati Taksande ◽  
Ulhas Jajoo ◽  
Samir Yelwatkar ◽  
Jaikishan Ashish
Keyword(s):  
Case Report ◽  
Unusual Presentation ◽  
Medial Rectus

Rusty green stained temporal bone associated with exposure to tetracycline: an unusual presentation of black bone disease

2015 ◽  
Vol 129 (3) ◽  
pp. 276-278 ◽  
Author(s):  
B Farahnik ◽  
S Zaghi ◽  
L Hendizadeh ◽  
Q Gopen
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Temporal Bone ◽  
Bone Disease ◽  
Prolonged Exposure ◽  
Unusual Presentation ◽  
Enamel Hypoplasia ◽  
Mandibular Bone ◽  
Clinical Consequences ◽  
History Of

AbstractObjective:To review the phenomenon and implications of temporal bone and craniofacial bone staining in the context of prolonged exposure to tetracycline antibiotic.Methods:Case report and literature review.Results:A 52-year-old male with a 5-year history of tetracycline use presented to undergo tympanomastoidectomy and was found to have an unusual rusty green pigmentation of the entire aspect of the exposed temporal bone. A literature review revealed more than 20 cases of tetracycline-induced pigmentation of intraoral maxillary and mandibular bone, and 2 prior cases involving the cranial bones.Conclusion:Tissue and organ pigmentation is an unexpected and unfavourable consequence of the use of tetracyclines, particularly minocycline. Tetracycline is contraindicated in children because of the risk for dysosteogenesis and enamel hypoplasia. In adults, although the unusual staining may present as an unexpected dilemma upon surgical exposure, current research shows no significant clinical consequences for this type of pigmentation.

scholarly journals Crops of Papules and Papulonodular Plaques- An Unusual Presentation of Cutaneous Metastasis- A Case Report

2020 ◽  
Vol 5 (4) ◽  
Author(s):  
Sohail Chaudhry Z
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Pleural Effusion ◽  
Cutaneous Metastasis ◽  
Chest Ct ◽  
Lower Limbs ◽  
Unusual Presentation ◽  
Lung Mass ◽  
Internal Malignancy ◽  
History Of

Cutaneous Metastasis refers to a growth of neoplastic cells in the skin originating from an internal malignancy. Morphologically the metastasis could take multiple morphologies. We report a case of cutaneous metastasis in a female of age 34years. She initially presented with a 2 years history of progressive appearance of multiple asymptomatic clusters of monomorphic papulonodular lesions widespread on her trunk, lower limbs and genitalia later developed dyspnoea and weight loss. Chest CT showed moderate pleural effusion and multiple lymphadenopathies and right sided lung mass/consolidation. Histopathological evidences of cutaneous biopsy revealed cutaneous Metastasis consistent with the lung primary.

scholarly journals Extra-Abdominal Fibromatosis: A Case Report

2003 ◽  
Vol 82 (4) ◽  
pp. 322-325
Author(s):  
Nathan Stephens ◽  
Farhan Ahsan ◽  
Daran P. Murray ◽  
Akhtar Hussain ◽  
Andrea D. Chapman
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Rare Disease ◽  
Clinical Picture ◽  
Rapid Growth ◽  
Current Opinion ◽  
History Of ◽  
Painless Mass

Head and neck fibromatosis is a rare disease with a variable clinical picture. We report the case of a 40-year-old woman who had a 1-week history of a painless mass overlying her right neck. Histology confirmed a diagnosis of extra-abdominal fibromatosis. Two unusual features of this case were the site of the lesion and its rapid growth. In this article, we discuss the clinical picture of head and neck fibromatosis, its etiology and pathology, and current opinion regarding its treatment.

scholarly journals Transcranial resection of a juvenile psammomatoid ossifying fibroma of the orbit: A case report with 2-year follow-up

2020 ◽  
Vol 11 ◽  
pp. 293
Author(s):  
Muhammad Junaid ◽  
Syed Sarmad Bukhari ◽  
Majid Ismail ◽  
Anisa Kulsoom
Keyword(s):  
Case Report ◽  
Rapid Growth ◽  
Ossifying Fibroma ◽  
Case Description ◽  
Craniofacial Skeleton ◽  
Imaging Studies ◽  
Orbital Roof ◽  
History Of ◽  
Psammomatoid Ossifying Fibroma

Background: Juvenile psammomatoid ossifying fibromas (JPOFs) are benign, locally invasive lesion of the craniofacial skeleton that may undergo rapid growth resulting in damage to cranial and facial structures. They usually occur before the age of 15 years and should be carefully treated as their diagnosis may be confused with other lesions such as psammomatous meningioma. Case Description: A 14-year-old male presented to the clinic with a history of progressive left proptosis. Imaging studies revealed a well-circumscribed lesion involving the left orbital roof and showing internal areas of calcification and sclerosis. He underwent a transcranial resection of the lesion and follow-up imaging revealed no evidence of recurrence. Conclusion: JPOFs are locally invasive lesions that require careful diagnosis and meticulous excision to prevent recurrence.

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