Primary orbital chronic granulomatous reaction to deep staphylococcal infection due to trauma in immunocompetent

Lavanya G. Rao, Sarita R J Gonsalves, Atiya Pathan, Akansha Sinha

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 53-year-old man presented with a slow-growing mass in the right orbit and temporal area of 1 year duration following a road traffic accident. Examination revealed a nodular fungating mass involving the orbit, right temporal area with multiple discharging sinuses causing proptosis and restricted ocular motility. The patient denied light perception in the right eye. There was exposure keratopathy and optic atrophy. Imaging showed mass lesion of the orbit extending intracranially. Tissue biopsy and culture revealed a chronic granulomatous reaction due to deep infection with coagulase-positive staphylococci. The patient showed remarkable improvement to systemic antibiotics and anticonvulsants. Mortality is high in such cases due to intracranial extension if there is a delay in treatment. This case report summarises a rare aetiology and successful treatment of a case of chronic granulomatous reaction due to deep bacterial infection following trauma and is deemed rare as cases of primary orbital infection in immunocompetent have not been reported so far.

Original languageEnglish
JournalBMJ Case Reports
DOIs
Publication statusPublished - 31-07-2013
Externally publishedYes

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Staphylococcal Infections
Orbit
Wounds and Injuries
Optic Atrophy
Exophthalmos
Traffic Accidents
Coagulase
Infection
Staphylococcus
Bacterial Infections
Anticonvulsants
Anti-Bacterial Agents
Biopsy
Light
Mortality
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Rao, Lavanya G. ; Gonsalves, Sarita R J ; Pathan, Atiya ; Sinha, Akansha. / Primary orbital chronic granulomatous reaction to deep staphylococcal infection due to trauma in immunocompetent. In: BMJ Case Reports. 2013.
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Primary orbital chronic granulomatous reaction to deep staphylococcal infection due to trauma in immunocompetent. / Rao, Lavanya G.; Gonsalves, Sarita R J; Pathan, Atiya; Sinha, Akansha.

In: BMJ Case Reports, 31.07.2013.

Research output: Contribution to journalArticle

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