PURPOSE: To report a patient with bulbar conjunctival sporotrichosis presenting as a salmon-pink tumor. METHODS: This was an interventional case report. A 62-year-old woman presented with conjunctival injection in her left eye. Despite administration of topical dexamethasone sodium, ofloxacin, and levocabastine hydrochloride, her symptoms failed to improve and she was referred to us. RESULTS: Four weeks after referral to us, the patient gradually developed conjunctival injection in both eyes and a salmon-pink tumor in the bulbar conjunctiva of the left eye. Excision biopsy was performed and pathologic examination revealed an epithelioid granuloma with microabscesses and infiltration of plasma cells with yeast-like spherules. A sporotrichin intradermal test was strongly positive. Based on a diagnosis of sporotrichosis, we treated her with topical fluconazole 0.2% in both eyes and oral potassium iodide (450 mg). The bilateral conjunctival injection and subconjunctival tumor in the left eye gradually resolved and had completely disappeared after 3 months of treatment. CONCLUSION: This is the first report of bulbar conjunctival sporotrichosis with a salmon-pink conjunctival tumor. Although rare, ophthalmologists should be aware of this entity during examination of patients with intractable conjunctival injection.
PURPOSE: To report a patient with bulbar conjunctival sporotrichosis presenting as a salmon-pink tumor. METHODS: This was an interventional case report. A 62-year-old woman presented with conjunctival injection in her left eye. Despite administration of topical dexamethasone sodium, ofloxacin, and levocabastine hydrochloride, her symptoms failed to improve and she was referred to us. RESULTS: Four weeks after referral to us, the patient gradually developed conjunctival injection in both eyes and a salmon-pink tumor in the bulbar conjunctiva of the left eye. Excision biopsy was performed and pathologic examination revealed an epithelioid granuloma with microabscesses and infiltration of plasma cells with yeast-like spherules. A sporotrichin intradermal test was strongly positive. Based on a diagnosis of sporotrichosis, we treated her with topical fluconazole 0.2% in both eyes and oral potassium iodide (450 mg). The bilateral conjunctival injection and subconjunctival tumor in the left eye gradually resolved and had completely disappeared after 3 months of treatment. CONCLUSION: This is the first report of bulbar conjunctival sporotrichosis with a salmon-pink conjunctival tumor. Although rare, ophthalmologists should be aware of this entity during examination of patients with intractable conjunctival injection.
Authors: Aluisio Rosa Gameiro Filho; Carolina Tagliari Estacia; Rodrigo Rosa Gameiro; Leandro de Mattos Fonseca Vieira; Daniella Socci da Costa Journal: Am J Ophthalmol Case Rep Date: 2020-08-20
Authors: João Paulo M Yamagata; Fabiana B Rudolph; Maria Clara L Nobre; Leninha V Nascimento; Felipe Maurício S Sampaio; Andrea Arinelli; Dayvison F Freitas Journal: Am J Ophthalmol Case Rep Date: 2017-09-23
Authors: Aline M F Matos; Lucas M Moreira; Bianca F Barczewski; Lucas X de Matos; Jordane B V de Oliveira; Maria Ines F Pimentel; Rodrigo Almeida-Paes; Murilo G Oliveira; Tatiana C A Pinto; Nelson Lima; Magnum de O Matos; Louise G de M E Costa; Cledir Santos; Manoel Marques Evangelista Oliveira Journal: Microorganisms Date: 2019-12-21
Authors: Dayvison Francis Saraiva Freitas; Iluska Augusta Rocha Lima; Carolina Lemos Curi; Livia Jordão; Rosely Maria Zancopé-Oliveira; Antonio Carlos Francesconi do Valle; Maria Clara Gutierrez Galhardo; Andre Luiz Land Curi Journal: Mem Inst Oswaldo Cruz Date: 2014-04 Impact factor: 2.743