Proptosis por Celulitis Orbitaria en paciente Pediátrico: reporte de un caso / Proptosis for Orbital Cellulitis in a Pediatric Patient: case report

Orbital cellulitis is an infectious disease that occurs most frequently in the pediatric age. The most common underlying factor for its development is ethmoidal sinusitis. The microorganisms associated with orbital infection are S. pneumoniae, S. aureus, H. influenzae and M. catarrhalis, whose therapeutic failure brings serious complications that include loss of vision, meningitis and intracranial infection. In the following case we want to capture the doctor's actions in this infectious pathology, the diagnoses we should rule out and antibiotic treatment. We report the case of a previously healthy 2-year-old male patient who consulted for an increase left bipalpebral volume, associated to impossibility of spontaneous opening of left eye and febrile peak of 39.4 ° C, with TAC of paranasal sinuses and orbit, where shows left medial intraorbital abscess, with preseptal compromise that determines left proptosis, deciding to start associated antibiotic therapy for orbital cellulitis with compromise preseptal. In view of the slow evolution, a study was started to rule out the associated tumor process, which is discarded, maintaining an antibiotic for 21 days with clinical improvement after these. Orbital cellulitis in the pediatric age should be diagnosed quickly and in a timely manner, since it is a medical emergency, it is a condition that requires hospitalization and management with systemic antibiotics.

A Rare Case of Intraorbital Abscess Engulfing The Optic Nerve in an Anemic Child.

Here is a case report of 8 year old male child who presented to us with swelling and protrusion of the right eye associated with redness and watering. The child gave a history of insect bite 4 days prior to presentation. On further radiological examination it was confirmed to be a case of Intraorbital abscess which is rare in occurrence.

A Case of Bilateral Cavernous Sinus Thrombosis with Intraorbital Abscess

PURPOSE: We report a case of bilateral cavernous sinus thrombosis and unilateral intraorbital abscess in a patient suffering proptosis, a limitation of ocular movement, and visual disturbance. METHODS: After several days of febrile and chilling sensation, a 49-year-old man suffered from vision loss, a limitation of ocular movement in all directions, proptosis in the right eye and mild abduction limitation in the left eye. Brain MRI, indicated inflammation in the bilateral cavernous sinuses and intraorbital abscess in the right eye, leading to a diagnosis of cavernous sinus thrombosis. Systemically, the patient was treated with antibiotics and steroid injection. For intraorbital abscess, aspiration and antibiotics injection were administered locally. The patient improved overall and the abscess size decreased. Blood culture showed alpha-hemolytic Streptococcus. The Gram stain of the specimen from the intraorbital abscess revealed Gram-positive cocci but no specific strain was cultured. RESULTS: We believe that proptosis in the right eye, intraorbital abscess, limitation of ocular movement, retinal hemorrhage, and optic atrophy were due to alpha-hemolytic Streptococcus, which had spread to the cavernous sinus and right orbit through the vascular system. CONCLUSIONS: We report a case of bilateral cavernous sinus thrombosis and intraorbital abscess in the right eye in a patient who suffered from sepsis caused by alpha-hemolytic Streptococcus.

Endoscopic Surgery for Intraorbital Abscess: A Report of One Case / 대한이비인후과학회지

Intraorbital abscess is one of the serious complications of the paranasal sinusitis and an inadequate treatment for this condition may result in irreversible damages of the optic nerve and retina. Conventionally, surgical treatment of intraorbital abscess has been performed by external ethmoidectomy approach. More recenty, the endoscopic drainage technique has been reported. The authors experienced a case of intraorbital abscess in a 16 year-old male patient for whom we applied the endoscopic drainage technique under the general anesthesia. After the partial removal of the lamina papyracea, we incised the periorbita and then induced drainage of intraorbital abscess by applying external pressure to the eye ball. The surgery was satisfactory and there was no evidence of complications.