Coccidioidomycosis of the eyelid

Seyda Ugurlu, Alejandra G. De Alba Campomanes, Ayman Naseri, Janis E. Blair, William M. McLeish

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A 77-year-old woman presented with an ulcerated nodule on her right lower eyelid that was unresponsive to broad-spectrum antibiotics or incision and drainage. Coccidioidomycosis was suspected because of previous serologic testing and concurrent indurated cutaneous nodules. Although skin biopsies were not diagnostic, cultures from the eyelid were positive for Coccidioides immitis. The patient was initially treated with oral fluconazole, with resolution of the eyelid and skin lesions. She ultimately completed a 6-month course of oral azole therapy, and at 18-month follow-up she was symptom free. Few cases of granulomatous coccidioidomycosis of the eyelids have been reported. The clinical features of this infection are not specific, and the diagnosis is often difficult Presentation can mimic bacterial infection or malignant neoplasm, leading to delayed or inappropriate treatment We describe an unusual ulcerative lesion of the eyelid that led to a diagnosis of disseminated coccidioidomycosis.

Original languageEnglish (US)
Pages (from-to)157-159
Number of pages3
JournalOphthalmic Plastic and Reconstructive Surgery
Volume21
Issue number2
DOIs
StatePublished - Mar 2005

Fingerprint

Coccidioidomycosis
Eyelids
Skin
Coccidioides
Azoles
Fluconazole
Bacterial Infections
Drainage
Anti-Bacterial Agents
Biopsy
Therapeutics
Infection
Neoplasms

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Ugurlu, S., De Alba Campomanes, A. G., Naseri, A., Blair, J. E., & McLeish, W. M. (2005). Coccidioidomycosis of the eyelid. Ophthalmic Plastic and Reconstructive Surgery, 21(2), 157-159. https://doi.org/10.1097/01.IOP.0000155854.21746.49

Coccidioidomycosis of the eyelid. / Ugurlu, Seyda; De Alba Campomanes, Alejandra G.; Naseri, Ayman; Blair, Janis E.; McLeish, William M.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 21, No. 2, 03.2005, p. 157-159.

Research output: Contribution to journalArticle

Ugurlu, S, De Alba Campomanes, AG, Naseri, A, Blair, JE & McLeish, WM 2005, 'Coccidioidomycosis of the eyelid', Ophthalmic Plastic and Reconstructive Surgery, vol. 21, no. 2, pp. 157-159. https://doi.org/10.1097/01.IOP.0000155854.21746.49
Ugurlu S, De Alba Campomanes AG, Naseri A, Blair JE, McLeish WM. Coccidioidomycosis of the eyelid. Ophthalmic Plastic and Reconstructive Surgery. 2005 Mar;21(2):157-159. https://doi.org/10.1097/01.IOP.0000155854.21746.49
Ugurlu, Seyda ; De Alba Campomanes, Alejandra G. ; Naseri, Ayman ; Blair, Janis E. ; McLeish, William M. / Coccidioidomycosis of the eyelid. In: Ophthalmic Plastic and Reconstructive Surgery. 2005 ; Vol. 21, No. 2. pp. 157-159.
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