Unilateral orbital inflammation in a child after a jellyfish sting to the lower extremities

Michael A Kapamajian1, Amjad Ahmad, Joseph W Burnett

  • 1Department of Ophthalmology and Visual Sciences, The University of Illinois Eye and Ear Infirmary, Chicago, Illinois 60612, USA. mkapa17@yahoo.com

Insights

A child experienced skin rashes after a jellyfish sting, followed by orbital inflammation. Doctors diagnosed sclerosing dacryodenitis, suggesting an immune response to the sting.

Area of Science:

  • Ophthalmology
  • Immunology
  • Dermatology

Background:

  • Jellyfish stings can cause varied cutaneous reactions.
  • Orbital inflammation can present with diverse etiologies.

Observation:

  • A child developed recurrent skin eruptions post-jellyfish sting.
  • Unilateral orbital inflammation emerged weeks later, unresponsive to conventional treatments.

Findings:

  • Imaging identified a rapidly growing lacrimal gland mass.
  • Histopathology confirmed sclerosing dacryodenitis, indicative of an immune response.

Implications:

  • This case highlights a rare immune sequela to jellyfish envenomation.
  • Sclerosing dacryodenitis may manifest as a delayed inflammatory response to antigens.

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