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Patient 2 with multiple MC lesions over upper and lower eyelids near the ocular aperture conjunctival hyperemia
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Molluscum contagiosum is a common tropical contagious viral infection, involving the skin and the mucous membranes. Ophthalmic molluscum contagiosum is a relatively uncommon condition presenting as secondary follicular conjunctivitis or kerato-conjunctivitis and may present with or without obvious dermal skin lesions. Often, unsuspected and misdiag...
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Citations
... Periocular Molluscum lesions frequently affect the eyelid margins or the area near the palpebral aperture and may cause secondary unilateral follicular conjunctivitis or superficial punctate keratitis 8 . Although periocular lesions may be self-limited with no need for intervention beyond conservative management, it is important to understand that the disease can also take an aggressive form. ...
Molluscum contagiosum presenting as a periorbital region abscess is unusual. The virus generally causes a self-limiting localized disease in children. Presentation as an abscess has been reported mainly in immunocompromised patients. We performed a retrospective study of ten children treated for Molluscum contagiosum infection presenting as periorbital abscess. Data investigated included age, immunocompetence, systemic antibiotic treatment, clinical findings, and histopathology. All children were immunocompetent. Bacterial cultures taken in six of the ten children were positive in two. Seven patients received oral antibiotics before presentation but required IV antibiotics on admission. One patient received IV antibiotics only. All antibiotic treatment had very limited effect. Two patients had no antibiotic treatment. CT imaging in one case where orbital cellulitis was suspected showed no significant intraorbital findings with anterior involvement only. Nine out of ten children had surgery and intra-operative cryotherapy at our center with immediate improvement and recovery. One child whose parents initially refused surgical excision had initial limited clinical improvement of periorbital swelling with antibiotics. However, the lesions were excised shortly following discharge from our hospital at another medical center with a complete cure. Molluscum is a cause of periorbital abscess in immunocompetent children which should be part of the differential diagnosis in periorbital/adnexal infection. Antibiotic treatment has a limited effect, and the abscess is most likely a virally triggered reaction. Surgical excision and intra-operative cryotherapy are curative of the disease in our experience.
... Başaran et al. [2] reported a case of MC localized on the hyponychium of the middle finger of the right hand in a young woman. Oral, ocular, and plantar regions are other unusual MC localizations reported [3][4][5]. ...
Molluscum contagiosum (MC) is a self-limiting viral infectious cutaneous disease usually characterized by pinkish skin color and round umbilicated papules varying in size and shape. MC can affect any region, but the lower abdomen, thighs, genitals, and perianal area are the sites most commonly involved. Atypical localizations of the lesions may be difficult to diagnose. We report a case of subungual MC with dermoscopic features in a young male.
El tratamiento de las conjuntivitis infecciosas depende del agente etiológico, la cronología de su aparición (aguda o insidiosa,) la gravedad del proceso infeccioso-inflamatorio y el estado inmune del huésped.
Diversos agentes antibióticos, anti-fúngicos y anti-virales son empleados según el agente causal del proceso infeccioso-inflamatorio de la superficie ocular del paciente afectado.
Conocer las diversas alternativas terapéuticas que poseen mayor eficacia y seguridad es de suma importancia para erradicar al agente patógeno, evitando las complicaciones derivadas de un mal manejo.
Este capítulo aborda de una manera concisa, pero específica, los regímenes terapéuticos antimicrobianos empleados en la actualidad para el combate de esta enfermedad.
Viral conjunctivitis (“pink eye”) is by far the most common form of conjunctival infection. Though classically associated with human adenoviruses, picornaviruses, and herpesviruses, the viral etiologies of conjunctivitis are far more diverse than is commonly appreciated. Human coronaviruses, influenza viruses, poxviruses, and retroviruses are only a few of the many virus families that can establish conjunctival infection. In most cases, viral conjunctivitis is a self-limiting disease characterized by nonspecific eye irritation, injection, chemosis, and increased lacrimation. However, long-term visual complications can occur when conjunctivitis is accompanied by involvement of other ocular structures—including the cornea, uveal tract, and retina—which can be easily overlooked on cursory examination. A significant minority of patients will also experience viral conjunctivitis as only one of the many clinical features associated with systemic infection. Understanding the epidemiology, natural history, and distinct patterns of clinical presentation of each viral etiology is therefore essential for correct diagnosis and management. This chapter offers a comprehensive overview of the viruses and clinical syndromes associated with conjunctival infections, which remain an important but underacknowledged cause of ocular morbidity.
