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Orbital Inflammatory Syndrome Secondary to Flea Bite.
Claudia M Prospero Ponce1, Amina I Malik1, Aroucha Vickers1
1Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas.
Ophthalmic Plastic and Reconstructive Surgery
|April 17, 2018
Summary
A man experienced persistent eye swelling and pain due to an unusual cause: a flea lodged in his orbit. This case highlights the importance of considering rare parasitic infections in orbital inflammatory conditions.
Area of Science:
- Ophthalmology
- Parasitology
- Emergency Medicine
Background:
- Orbital inflammatory conditions can present with varied symptoms, including eyelid swelling and proptosis.
- Previous diagnosis of
Observation:
- A 34-year-old male presented with progressive left upper eyelid swelling and pain, unresponsive to initial antibiotic treatment.
- Imaging revealed left exophthalmos and an enhancing lacrimal gland, initially suspected to be an intraorbital abscess.
Findings:
- Surgical exploration found inflamed tissues but no abscess. The patient subsequently reported a flea emerging from his orbit.
- Histopathology confirmed eosinophilic degranulation and foreign body material consistent with insect parts in the lacrimal gland.
Implications:
- This case underscores the possibility of unusual orbital foreign bodies, such as insects, causing inflammatory responses.
- It emphasizes the need for thorough patient history and consideration of rare etiologies in refractory orbital inflammation.
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