Fungal Orbital Cellulitis by Candida Albicans Following Snake Bite -A Rare Case

Abstract

Fungal orbital cellulitis is extremely rare in immune-competent individuals. An ocular manifestation of snake bite is rare and orbital cellulitis following snake bite is one of the rarest entities. A 10 year old boy presented with periorbital edema with lid necrosis following snake bite on upper lid of the right eye. Patient was treated with intravenous empirical antibiotic along with anti-snake venom. The following day, the patient developed proptosis of the right eye. CT scan suggested orbital cellulitis. Microbiological examination confirmed Candida species. Patient was started on intravenous and topical antifungal agent with resultant decrease of proptosis. But, despite ocular improvement, the patient succumbed due to respiratory failure. The present case highlights fungal orbital cellulitis in immune-competent patient as one of the rarest manifestation of snake bite. Clinical suspicion and diagnosis by imaging and microbiological examination and immediate treatment are necessary while treating such patients.