Rhino-orbital Mucormycosis in an Immunocompetent Pediatric Patient, Resembling an Orbital Mass- a Case Report

Seyed Mohsen Rafizadeh; Mehdi Aminizade; Fahime Asadi Amoli; Mahtab Rabbani Anari; Mahmoud khodabandeh; Abbas Mohammadi

doi:10.18502/crcp.v8i1.13101

Seyed Mohsen Rafizadeh Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Farabi Hospital, Tehran, Iran.
Mehdi Aminizade Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Farabi Hospital, Tehran, Iran.
Fahime Asadi Amoli Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Farabi Hospital, Tehran, Iran.
Mahtab Rabbani Anari Department of Otorhinolaryngology - Head & Neck Surgery, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mahmoud khodabandeh Department of Infectious Diseases, Pediatric’s Center of Excellence, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Abbas Mohammadi Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Farabi Hospital, Tehran, Iran

DOI: https://doi.org/10.18502/crcp.v8i1.13101

Keywords: Mucormycosis; Immunocompetent; Orbital mass; Pediatric

Abstract

Rhino-orbital mucormycosis in an immunocompetent pediatric patient can present as an orbital mass. We report a 9-year-old male that presented with periorbital swelling and limitation of left eye movement from one month ago. The patient was treated at another center with a diagnosis of mucormycosis but was referred due to worsening symptoms. Orbital and paranasal sinus CT scan revealed opacities in the left paranasal sinus and soft tissue density in the medial and inferior orbital wall. The patient underwent orbitotomy and mass debulking surgery on suspicion of a possible neoplastic mass. Pathologic evaluations revealed mucormycosis. After receiving intravenous liposomal amphotericin-B that was followed by oral posaconazole syrup for two months and sinus debridement, the symptoms regressed. In immunocompromised pediatric patients, mucormycosis should be considered in the differential diagnosis of an orbital mass.