Sun Lixia, Dong Yaru, Wang Xin, Shan Baihui, Zhang Min
Department of Ophthalmology, Yanbian University Affiliated Hospital, Yanbian University, Yanji Department of Ophthalmology, Second Hospital of Jilin University, Jilin University, Changchun Department of Ophthalmology, Jiin Guowen Hospital, Gongzhuling Department of Dermatology Department of Pathology, Second Hospital of Jilin University, Jilin University, Changchun, Jilin, P.R. China.
Medicine (Baltimore). 2018 Jun;97(25):e11182. doi: 10.1097/MD.0000000000011182.
Sporotrichosis is the most common subcutaneous mycosis. It is caused by the dimorphic fungus Sporothrix schenckii. Ocular sporotrichosis is uncommon and has been rarely reported.
We describe a 34-year-old female who presented with a nodule increasing in size near the medial angle of the left eye. Originally, she was misdiagnosed with a dacryocyst space-occupying lesion, and the lesion was removed by surgery.
Findings of fungal structures in the histopathological examination contributed to the diagnosis of Sporothrix dacryocystitis. Further culture of conjunctival secretions and contact lens storage solution was positive for Sporothrix.
She was treated with oral itraconazole, 200 mg by mouth twice daily.
After 3 months of treatment with oral itraconazole, culture of the conjunctival secretions was negative.
It is of paramount importance to clinically suspect mycosis, even in unusual locations or in the absence of the typical epidemiological history.
