Abstract
Purpose:
To report a case of a fungal mass misdiagnosed as a pigmented conjunctival melanoma.
Method:
Case report.
Result:
A 38-year-old woman was referred for a pigmented conjunctival lesion that was diagnosed as a melanoma. She had a history of a scleral buckle in that eye for retinal detachment 2 years before presentation. Slit-lamp examination revealed a pigmented mass from the 11- to 2-o'clock position. This was noted to be imbricated within the invagination of a conjunctival fold from the previous surgery. The mass was removed, cultured, and confirmed to be a fungal infection from Scytalidium sp.
Conclusions:
Scleral buckles can cause folds in the conjunctiva, which can be foci for fungal infection.
Publication types
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Case Reports
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
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Adult
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Antifungal Agents / therapeutic use
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Ascomycota / isolation & purification*
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Conjunctival Diseases / diagnosis*
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Conjunctival Diseases / drug therapy
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Conjunctival Diseases / microbiology
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Conjunctival Neoplasms / diagnosis
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Contact Lenses / microbiology
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Diagnosis, Differential
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Eye Infections, Fungal / diagnosis*
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Eye Infections, Fungal / drug therapy
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Eye Infections, Fungal / microbiology
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Female
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Humans
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Melanoma / diagnosis*
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Mycetoma / diagnosis*
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Mycetoma / drug therapy
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Mycetoma / microbiology
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Natamycin / therapeutic use
Substances
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Antifungal Agents
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Natamycin