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A case of left orbital cysticercosis presenting as acute preseptal cellulitis.

Mithun Thulasidas, Vasanthi Kotian, Abin Holla, Sumitha CV

Purpose: The purpose is to report a case of left orbital cysticercosis, presented with signs of acute preseptal cellulitis. Case report: Orbital infection is a form of inflammation caused by infective agents and, therefore, orbital infection and other orbital inflammatory processes can have similar presentation. Parasitic infestations of the orbit are rare, commonly located in the superolateral and superomedial angles of the orbit. We report a case of 31 year old man who presented with acute painful rapidly progressive periocular swelling, didn’t show any response to 1 week of systemic antibiotics. Left orbital cyst excision was done after correlating with radiological findings and histopathological features were suggestive of parasitic infected cyst. Conclusion: Parasitic infected cyst could be considered in the differential diagnosis of unilateral periocular swelling with proptosis, commonly in superior part.