Orbital fine needle aspiration cytology: An effective diagnostic tool for orbital mucormycocysis

Author:

Jha Tanvi1,Agrawal Akanksha1,Diwaker Preeti1,Rohatgi Jolly2,Arora Vinod Kumar1

Affiliation:

1. Department of Pathology, University College of Medical Sciences and GTB Hospital, Delhi, India

2. Department of Ophthalmology, University College of Medical Sciences and GTB Hospital, Delhi, India

Abstract

Primary orbital mucormycosis is rare and challenging to diagnose. We present a case of a 52-year-old diabetic COVID-19-recovered patient in whom orbital mucormycosis was missed on a preliminary computed tomography (CT) scan. The patient deteriorated with right-sided progressive visual loss and proptosis despite treatment. CT scan was reviewed and a mild collection was found in the right orbit prompting an intraorbital fine needle aspiration cytology (FNAC) that revealed fungal hyphae consistent with mucor. Thus, right eye exenteration was performed as a lifesaving procedure. FNAC is a quick and efficient method for diagnosis of fungal infection and may be applied for confirmation of suspected orbital mucormycosis.

Publisher

Medknow

Subject

General Medicine

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4. The clinical presentation and diagnosis of invasive fungal infections;Maartens;J Antimicrob Chemother,1991

5. Fungal infections of the orbit;Mukherjee;Indian J Ophthalmol,2016

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