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Frozen overnight: Acute orbital apex syndrome caused by aspergillosis
Francesco Pellegrini1, Erika Mandarà2, Altin Stafa3
1Ophthalmology Department, "Santo Spirito" Hospital, Pescara, AUSL Pescara, Italy.
Purpose:
to describe a rare case of orbital apex syndrome caused by aspergillosis with acute presentation.
Case Description:
retrospective case report of a 70-year-old man who developed unilateral ophthalmoplegia overnight. He was initially given the diagnosis of suspect Tolosa-Hunt syndrome, but biopsy of the involved tissue showed aspergillosis.
Conclusion:
orbital apex syndrome caused by fungal disease is a life-threatening condition that should be promptly diagnosed and treated. It may present acutely and should not be misdiagnosed as Tolosa-Hunt syndrome. To our knowledge this is the first such case report in the English ophthalmic language Literature.
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