TY - JOUR A1 - Mukherjee, Bipasha A1 - Chatterjee, Raka A1 - Biswas, Jyotirmay T1 - Reverse masquerade syndrome: Fungal adnexal infection mimicking carcinoma in a HIV-positive patient Y1 - 2013/9/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 521 EP - 523 VL - 61 IS - 9 UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2013;volume=61;issue=9;spage=521;epage=523;aulast=Mukherjee DO - 10.4103/0301-4738.119454 N2 - A known HIV-positive male patient presented with a rapidly progressive ulcerative lesion involving the conjunctiva, lids, and anterior orbit along with a decrease in vision in the right eye. He was on anti retro-viral and anti-tubercular therapy. In view of the clinical features, our provisional clinical diagnosis was a malignant lesion of the eyelid with orbital involvement, possibly squamous cell carcinoma. However, incisional biopsy revealed absence of malignant cells. On Gomori Methenamine Silver staining, plenty of fungal filaments were seen, which was confirmed by culture as Candida albicans. Hence, it turned out to be a case of fungal adnexal infection mimicking carcinoma in a HIV-positive patient. The patient responded well to systemic anti-fungals. ER -