TY - JOUR
T1 - Apical orbital aspergillosis complicating giant cell arteritis
AU - Zhou, Yang
AU - Morgan, Michael L.
AU - Almarzouqi, Sumayya J.
AU - Chévez-Barrios, Patricia
AU - Lee, Andrew G.
PY - 2016
Y1 - 2016
N2 - A 75-year-old woman with new onset headaches and left vision loss, temporal scalp tenderness, and jaw claudication was found to have biopsy-proven giant cell arteritis (GCA). Despite treatment and improvement with prednisone, she later developed left orbital apex syndrome, and an orbital biopsy revealed aspergillosis. After antifungal treatment, extraocular motility improved although vision in the left eye remained no light perception. Clinicians should be aware that fungal orbital apex disease may mimic or complicate steroid-treated GCA.
AB - A 75-year-old woman with new onset headaches and left vision loss, temporal scalp tenderness, and jaw claudication was found to have biopsy-proven giant cell arteritis (GCA). Despite treatment and improvement with prednisone, she later developed left orbital apex syndrome, and an orbital biopsy revealed aspergillosis. After antifungal treatment, extraocular motility improved although vision in the left eye remained no light perception. Clinicians should be aware that fungal orbital apex disease may mimic or complicate steroid-treated GCA.
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U2 - 10.1097/WNO.0000000000000344
DO - 10.1097/WNO.0000000000000344
M3 - Article
C2 - 26835662
AN - SCOPUS:84969930480
SN - 1070-8022
VL - 36
SP - 159
EP - 163
JO - Journal of Neuro-Ophthalmology
JF - Journal of Neuro-Ophthalmology
IS - 2
ER -