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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.
Abstract:
A 3-year 10-month-old child initially developed locally recurrent cutaneous eruptions within the first 2 weeks after sustaining a jellyfish sting to her lower extremities. After 5 asymptomatic weeks, she developed unilateral orbital inflammation that did not respond to systemic antibiotics, antihistamines, or steroids. Imaging revealed a rapidly growing mass of the right lacrimal gland. Urgent anterior orbitotomy was performed and the lacrimal gland was biopsied. Histopathologic diagnosis revealed sclerosing dacryodenitis consistent with orbital inflammatory syndrome and/or an immune response to an antigen challenge.
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