Case report reveals cryptococcus neoformans in bilateral orbit of an immunocompetent child, highlighting risks of corticosteroid treatment.
Orbital fungal infections are initially misdiagnosed, typically only considered in immunocompromised patients, and may be empirically treated with systemic corticosteroids—potentially exacerbating disease progression. We report the third case described in medical literature of Cryptococcus neoformans invading the orbit in an immunocompetent host and the first in a child with bilateral presentation.
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Shebl et al. (2025) studied this question.
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