RESUMO
We report a case of orbital emphysema secondary to ethmoidal fracture after minimal trauma as differential diagnosis of orbital cellulitis not reported before in children. An 8 year-old girl with diagnosis of orbital cellulitis was remitted for admittance, IV antibiotics and evaluation by an ophthalmologist. However, further evaluation led to a diagnosis of ethmoidal lamina papyracea fracture. Patient showed complete resolution in 4 days with outpatient treatment. Once again, this case corroborates that meticulous history taking and physical examination are irreplaceable for decision making.
Assuntos
Osso Etmoide/lesões , Doenças Palpebrais/etiologia , Celulite Orbitária/diagnóstico , Fraturas Cranianas/complicações , Fraturas Cranianas/diagnóstico , Enfisema Subcutâneo/etiologia , Criança , Diagnóstico Diferencial , Feminino , HumanosRESUMO
Se comunica un caso de enfisema subcutáneo palpebral por fractura del etmoides postraumatismo mínimo, como diagnóstico diferencial de celulitis orbitaria no comunicado previamenteen pediatría. Niña de 8 años de edad, derivada con diagnóstico de celulitis orbitaria para internación, tratamiento antibiótico endovenoso y evaluación urgente por oftalmología. Sin embargo, en la evaluación ulterior se diagnostica fractura de lámina papirácea del etmoides, con resolución clínica completa a los 4 días de tratamiento ambulatorio. Nuevamente, se comprueba que la anamnesis meticulosa y el prolijo examen físicoson irreemplazables para la adecuada toma de decisiones.
We report a case of orbital emphysema secondary to ethmoidal fracture after minimal trauma as differential diagnosis of orbital cellulitis not reported before in children. An 8 year-old girl with diagnosis of orbital cellulitis was remitted for admittance, IV antibiotics and evaluation by an ophthalmologist. However, further evaluation led to a diagnosis of ethmoidal lamina papyracea fracture. Patient showed complete resolution in 4days with outpatient treatment. Once again, this case corroborates that meticulous history taking and physical examination are irreplaceable for decision making.
Assuntos
Humanos , Feminino , Criança , Diagnóstico Diferencial , Fraturas Orbitárias/diagnóstico , Osso Etmoide/lesões , Celulite Orbitária , Pálpebras/patologia , Enfisema SubcutâneoRESUMO
Se comunica un caso de enfisema subcutáneo palpebral por fractura del etmoides postraumatismo mínimo, como diagnóstico diferencial de celulitis orbitaria no comunicado previamenteen pediatría. Niña de 8 años de edad, derivada con diagnóstico de celulitis orbitaria para internación, tratamiento antibiótico endovenoso y evaluación urgente por oftalmología. Sin embargo, en la evaluación ulterior se diagnostica fractura de lámina papirácea del etmoides, con resolución clínica completa a los 4 días de tratamiento ambulatorio. Nuevamente, se comprueba que la anamnesis meticulosa y el prolijo examen físicoson irreemplazables para la adecuada toma de decisiones.(AU)
We report a case of orbital emphysema secondary to ethmoidal fracture after minimal trauma as differential diagnosis of orbital cellulitis not reported before in children. An 8 year-old girl with diagnosis of orbital cellulitis was remitted for admittance, IV antibiotics and evaluation by an ophthalmologist. However, further evaluation led to a diagnosis of ethmoidal lamina papyracea fracture. Patient showed complete resolution in 4days with outpatient treatment. Once again, this case corroborates that meticulous history taking and physical examination are irreplaceable for decision making.(AU)