Orbital lymphoma presenting as preseptal cellulitis in a child with ataxia-telangiectasia.
Farah Kanaan AlNasser, Malak AlRashidi, Amna AlRashidi et al.
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Case in brief
A young child with ataxia-telangiectasia presented with left periorbital swelling, initially treated as a periorbital infection. Despite antimicrobial therapy and surgical drainage, the swelling worsened, and MRI revealed a medial extraconal lesion. Histopathological examination ultimately confirmed non-Hodgkin B-cell lymphoma. This case underscores the need for early reassessment in immunocompromised patients with atypical presentations.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for malignancy in immunocompromised patients presenting with atypical infections that do not respond to standard treatment.