DR. ADITI JHUNJHUNWALA

DR. RAMYASH SINGH YADAV

Abstract

OBJECTIVE –To study clinical course, diagnosis and management of a rare case of fungal orbital cellulitis presenting as pus discharging fistula. MATERIALS & METHODS –A case of orbital cellulitis with pus discharging fistula was followed to study clinical course, diagnosis and management. OBSERVATION-Patient presented with signs of orbital cellulitis along with a pus discharging fistula below medial canthus with positive mucopurulent discharge from puncta and fistula on syringing. Patient responded on broad spectrum antibiotics but developed necrotic patch on hard palate. MRI showed intraconal & extraconal involvement. DNE was done and tissue sent for KOH, culture and histopathology. After KOH showed budding like yeast cells patient was started on antifungals and discharged when repeat culture report showed no growth. CONCLUSION-High level of suspicion for fungal cause in immunocompromised and diabetic even in the presence of the pus discharging fistula on syringing.