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September 1995

Mycoplasma hominis Orbital Abscess

Author Affiliations

Cincinnati, Ohio
Beirut, Lebanan
Naples, Italy

Arch Ophthalmol. 1995;113(9):1096-1097. doi:10.1001/archopht.1995.01100090018009

Mycoplasma hominis is frequently found in the genital tracts of adults with multiple sexual partners. It is increasingly being recognized as a cause of extragenital infections as well.

Report of a Case.  A 20-year-old man suffered a right orbital contusion with an accompanying frontal lobe injury from a motor vehicle crash. On admission to the neurosurgical intensive care unit, he was comatose and intubated. Ophthalmic examination revealed a marked afferent pupillary defect in the right eye with moderate proptosis. There was only moderate resistance to retropulsion of the globe, and intraocular pressure by Schiøtz tonometry was within normal limits. The optic disc on the right side demonstrated marked hyperemia. Computed tomographic and magnetic resonance imaging scans revealed proptosis with minimally displaced fractures of the roof and lateral wall, right frontal and temporal intracerebral hematomas, and multiple minimally displaced fractures of the right maxillary and frontal sinuses and of the ethmoid