Preseptal cellulitis: an unusual presentation of Trichophyton interdigitale in an adult

Kulkarni, Aniruddha; Aggarwal, S P

doi:10.1038/sj.eye.6701848

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…The diagnosis of periocular tinea is often missed. Only a few case presentations of periorbital dermatophyte infections have been reported in the literature, [6][7][8][9][10][11][12][13][14][15][16] several of which were described as preseptal cellulitis. [12][13][14][15] This is misleading, as dermatophytes do not invade dermal and subcutaneous tissue and therefore cannot technically cause cellulitis.…”

Section: Commentmentioning

confidence: 99%

“…Only a few case presentations of periorbital dermatophyte infections have been reported in the literature, [6][7][8][9][10][11][12][13][14][15][16] several of which were described as preseptal cellulitis. [12][13][14][15] This is misleading, as dermatophytes do not invade dermal and subcutaneous tissue and therefore cannot technically cause cellulitis. However, they can cause a significant inflammatory response, such as occurs on the scalp as a kerion, [17][18][19] which can lead to the clinical appearance of a cellulitis.…”

Section: Commentmentioning

confidence: 99%

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Common Features of Periocular Tinea

Basak

Berk²,

Lueder³

et al. 2011

Arch Ophthalmol

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To present the common features of periocular tinea to aid physicians in future diagnosis and therapy of this condition, because superficial fungal infections on the face are often misdiagnosed owing to the diverse morphologies that they manifest. This is especially true of dermatophytoses involving the periocular region.Methods: A retrospective review was performed of patients with a diagnosis of periocular tinea who were seen between January 2003 and September 2009 in the pediatric dermatology clinic at St. Louis Children's Hospital.Results: Ten cases of periocular tinea were identified (6 male patients and 4 female patients). Common features included prolonged misdiagnosis (all 10 cases), a normal ophthalmologic examination (all 10 cases), and inappropriate corticosteroid application (7 cases). Loss of the eyelashes occurred in all 10 patients. No cases had evidence of other tinea infections on examination. Only 2 cases had the central clearing classically associated with tinea corporis. Seven patients had a potassium hydroxide preparation and/or culture positive for fungal elements. Lesions improved with topical and oral antifungal treatment in all cases, and patients were able to regrow their eyelashes. Conclusion:Periocular tinea should be considered in the differential diagnosis for periocular inflammation, especially in those patients refractory to therapy for more common conditions. Loss of the eyelashes is characteristic of these fungal infections, similar to the hair loss that occurs in kerions associated with tinea capitis.

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Common Features of Periocular Tinea

Basak

Berk²,

Lueder³

et al. 2011

Arch Ophthalmol

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“…Surgical intervention is required to decrease the fungal load, enhance antifungal penetration and efficacy, and increase chances of better visual outcome. Early combined medical and surgical intervention to minimize tissue damage may prevent further worsening of the infection and result in favorable outcome [5][6][7]. We report a rare case of exogenous endophthalmitis secondary to Trichophyton species following ocular trauma with good visual outcomes.…”

Section: Introductionmentioning

confidence: 99%

Good Visual Outcome in Post Traumatic Exogenous Endophthalmitis Caused by Trichophyton Species

Supahiah

Ahmad

Teh

et al. 2021

Cureus

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Trichophyton species is a dermatophytic fungus commonly found in the skin, nails, hair, and other organic matters such as palm trees and soil. We report a rare case of a 23-year-old man who had a penetrating injury to the eye from the leaves of a palm tree and subsequently developed exogenous endophthalmitis. Culture from the vitreous tap revealed Trichophyton sp as the causative organism. Early vitrectomy and adequate intravitreal injection of amphotericin B resulted in good visual outcomes in an otherwise blinding condition. This is the first reported case of exogenous endophthalmitis secondary to Trichophyton species. Early diagnosis and prompt treatment may help improve visual outcomes.

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“…and Aggarwal[45 ] report a case of Trichophyton interdigitale infection in a 43-year-old pet shop workerthe first such report in an adult. Clinically, a delineated, erythematous eyelid lesion was noted along with chemosis, conjunctival discharge, photophobia, and blurred vision.…”

mentioning

confidence: 98%