RESUMO
Orbital complications due to ethmoiditis are rare in neonates. A case of orbital abscess due to acute ethmoiditis in a 28‑day‑old girl is presented. A Successful outcome was achieved following antimicrobial therapy alone; spontaneous drainage of the abscess occurred from the lower lid without the need for surgery. From this case report, we intend to emphasize on eyelid retraction as a sign of neonatal orbital abscess, and to review all the available literature of similar cases.
RESUMO
Sacrococcygeal region is the site of frequent occurrence for meningocele, congenital dermal sinus or pilonidal cyst. We have experienced 8 patients with sacrococcygeal midline abscess which developed in early neonatal period from May 1995 to July 1998. Mean age at the onset was 8.3 days with a range from 6 to 11 days. Sex ratio was 5:3 with male preponderance. They did not have any systemic symptoms except for a mild fever in one patient. Ultrasonogram revealed a slightly hypoechoic lesion in the subcutaneons tissue which became more hypoechoic with time. In pus cultures, Staphylococcus aureus grew in 7 patients. Of the 7 patients, 2 patients had a mixed infection with E. coli and other 2 were proved to be methicillin-resistance Staphylocccus aureus. Remaining one patient had a mixed infection with Klebsiella and Proteus. Histopathological examination revealed non-specific granuloma and fibrinoid necrotic debris. They were easily treated with incision, drainage and proper antibiotics.