Apical Orbital Aspergillosis Complicating Giant Cell Arteritis

作者:Zhou Yang; Morgan Michael L; Almarzouqi Sumayya J; Chevez Barrios Patricia; Lee Andrew G*
来源:Journal of Neuro-Ophthalmology, 2016, 36(2): 159-163.
DOI:10.1097/WNO.0000000000000344

摘要

A 75-year-old woman with new onset headaches and left vision loss, temporal scalp tenderness, and jaw claudication was found to have biopsy-proven giant cell arteritis (GCA). Despite treatment and improvement with prednisone, she later developed left orbital apex syndrome, and an orbital biopsy revealed aspergillosis. After antifungal treatment, extraocular motility improved although vision in the left eye remained no light perception. Clinicians should be aware that fungal orbital apex disease may mimic or complicate steroid-treated GCA.

  • 出版日期2016-6