Giant molluscum contagiosum with preseptal cellulitis

Area of Science:

• Dermatology
• Ophthalmology
• Pediatrics

Background:

• Molluscum contagiosum (MC) is a common viral skin infection.
• MC typically presents as benign papules, but giant lesions can occur.
• Periorbital involvement with preseptal cellulitis is an uncommon presentation.

Observation:

• Two pediatric cases of giant periorbital MC with preseptal cellulitis are presented.
• Case 1: A 9-month-old boy with an enlarging left upper eyelid mass and preseptal cellulitis.
• Case 2: An 18-month-old girl with a right lower eyelid ulcerating mass and preseptal cellulitis.

Findings:

• Histopathology confirmed Molluscum contagiosum in both pediatric patients.
• Surgical excision proved curative for the giant periorbital MC lesions.
• Case 2 also required antibiotic treatment for the associated preseptal cellulitis.

Implications:

• Giant periorbital MC with preseptal cellulitis, though rare, should be considered in pediatric differential diagnoses.
• Prompt diagnosis and surgical intervention are crucial for favorable outcomes.
• This presentation underscores the importance of considering MC in pediatric eyelid masses, even with atypical features.