Related Experiment Video
Updated: Jun 27, 2026

Detection of Invasive Pulmonary Aspergillosis in Haematological Malignancy Patients by using Lateral-flow Technology
Published on: March 22, 2012
Clinical characteristics and prognosis of orbital invasive aspergillosis
Hye Sun Choi1, Jun Yong Choi, Jin Sook Yoon
1Department of Ophthalmology, Kim's Eye Hospital, Yonsei University College of Medicine, Seoul, Korea.
Purpose:
To evaluate the clinical characteristics and prognosis of orbital invasive aspergillosis, a major cause of morbidity and mortality in immunocompromised patients.
Methods:
Review of the medical records of Severance Hospital, Yonsei University College of Medicine, from 1995 to 2007 revealed 15 patients with orbital invasive aspergillosis. A retrospective cohort study was conducted to evaluate the clinical characteristics, radiologic findings, associated underlying diseases, and prognosis. Risk factors for mortality were analyzed.
Results:
A total of 15 cases of orbital invasive aspergillosis were included in this study. The mean age for all patients was 61.9 years. The most common underlying disease was diabetes mellitus and all patients had paranasal sinus infections. The most common ocular symptoms were visual disturbance, periorbital swelling, and periorbital pain. The mortality rate associated with invasive aspergillosis was 40%. According to univariate analysis, variables significantly associated with invasive aspergillosis-related mortality included fever and incorrect initial diagnosis.
Conclusions:
Fever and incorrect initial diagnosis were found to be associated with high mortality rates in patients with orbital invasive aspergillosis. Further study is necessary to determine optimal strategies for early diagnosis and appropriate treatment.
Insights
Orbital invasive aspergillosis, a serious fungal infection, has a high mortality rate, especially when diagnosis is delayed. Fever and misdiagnosis are key indicators of poor prognosis in these immunocompromised patients.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Mycology
Background:
- Orbital invasive aspergillosis is a severe condition impacting immunocompromised individuals.
- It is a significant contributor to patient morbidity and mortality.
Purpose of the Study:
- To assess the clinical features and patient outcomes of orbital invasive aspergillosis.
- To identify risk factors associated with mortality in affected patients.
Main Methods:
- A retrospective cohort study analyzed 15 cases of orbital invasive aspergillosis.
- Data collected included clinical characteristics, radiologic findings, and underlying conditions.
- Statistical analysis identified risk factors for mortality.
Main Results:
- The study included 15 patients with a mean age of 61.9 years.
- Common factors included diabetes mellitus and concurrent paranasal sinus infections.
- Ocular symptoms like visual disturbance, periorbital swelling, and pain were prevalent.
- The mortality rate was 40%, with fever and incorrect initial diagnosis linked to increased mortality.
Conclusions:
- Fever and delayed or incorrect initial diagnosis are associated with higher mortality.
- Early diagnosis and effective treatment strategies require further investigation.
Related Concept Videos
Cryptococcal Meningitis
Brain Abscess l: Introduction
Glaucoma: Overview
Open Angle Glaucoma: Treatment
Drugs such as carbonic anhydrase inhibitors, α2- and...