Preseptal cellulitis caused by trichophyton (ringworm)

Cornea
Andrew J VelazquezWilliam T Driebe

Abstract

A 10-year-old boy with a past medical history significant for chicken pox at 7 years of age was referred to our eye center by an outside ophthalmologist for a 15-day history of worsening right-sided preseptal cellulitis. The patient reported photophobia, pruritus, and pain in the eyelid region. There appeared to be vesicular lesions on the eyelids. Empiric therapy with oral antibacterial and antiviral medications failed to resolve the preseptal cellulitis. Lid cultures revealed coagulase negative Staphylococcus, Streptococcal viridans, and a Trichophyton species of fungus. The infection was successfully treated with two courses of oral itraconazole. This is the first case of preseptal cellulitis caused by this dermatophyte that we could find in the literature.

References

Oct 1, 1996·Drugs·S P DonahueR P Kowalski
Aug 15, 1998·Journal of the American Academy of Dermatology·I WeitzmanP Della-Latta
Dec 11, 1999·Dermatology : International Journal for Clinical and Investigative Dermatology·A K GuptaP De Doncker

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Citations

Oct 15, 2003·Clinical Microbiology Reviews·Philip A Thomas
Mar 16, 2007·Head & Face Medicine·Suzannah R Drummond, Charles J M Diaper
Aug 16, 2003·Ophthalmic Plastic and Reconstructive Surgery·P S RajalekshmiC S Ng
Jun 15, 2007·Infectious Disease Clinics of North America·Ellen R Wald
Nov 17, 2017·Pediatric Dermatology·Tamara Gracia-CazañaYolanda Gilaberte
Jul 2, 2019·Current Opinion in Ophthalmology·Katherine J Williams, Richard C Allen
Feb 24, 2006·Journal of Pediatric Ophthalmology and Strabismus·Hakan Demirci, Christine C Nelson
Jun 25, 2021·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Cole E BothunErick D Bothun

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