Bee sting injury masquerading as scleritis in a patient of mycosis fungoides

Abstract

A 57-year-old male, diagnosed with mycosis fungoides and managed with immunomodulators, presented with a history of acute exacerbation of pain and redness in the right eye for 1 week. On examination, the patient exhibited a bright erythematous lesion involving the ala and apex of the nose. A provisional diagnosis of acute scleritis secondary to mycosis fungoides was made, and the patient was initiated on oral and topical steroids. Within 2 weeks, the patient gradually improved; however, with decreased congestion and increased visibility of the ocular surface, a pigmented foreign body was visualized in the subconjunctival space, which was subsequently removed with a 26-gauge needle. Surprisingly, histopathologic examination revealed the foreign body to be a bee sting.