A Case of the Orbital Aspergillosis.

Lee, Young Ho; Chung, Hong Young; Kim, In Chul

Case Report

Journal of the Korean Ophthalmological Society 1996;37(9):1555-1560.
Published online September 1, 1996.

A Case of the Orbital Aspergillosis.

Young Ho Lee, Hong Young Chung, In Chul Kim

Department of Ophthalmology, Presbyterian Medical Cender, Chonju, Korea.

안와 국균증 1례

이영호(Young Ho Lee),김인철(In Chul Kim),정홍영(Hong Young Chung)

Abstract

Aspergillus is also a saprophytic, ubiquitous fungus that is normally not pathogenic in humans. When it does appear as a source of infection, the rhinoorbital route of entry seemes to parallel that of the Phacomycetes. We experienced a case of orbital aspergillosis in healthy woman. There was no intracraneal extension. In spite of local infiltration of amphotericin B solution through maxillary sinus and aggressive systemic amphotericin B therapy, ocular symptom and sign was not improved. So we performed orbital exenteration and adjunctive amphotericin B and itraconazol systemically. Six months later the patient is alive without recurrence. We reviewed the available literatures regarding this uncommon disease.

Key Words: Aspergillus;Amphotericin B;Orbital aspergillosis;Orbital exenteration