Case Report: Progression of Pre-Septal Cellulitis to Orbital Subperiosteal Abscess despite Intravenous Broad-Spectrum Antibiotics in a Child
- Author:
Noor Aniah A
;
Norshamsiah MD
;
Bastion MLC
;
Safinaz MK
;
Mawaddah A
- Publication Type:Case Reports
- Keywords:
case reports;
orbital abscess;
orbital cellulitis;
paediatric;
subperiosteal abscess
- MeSH:
Orbital Cellulitis
- From:Journal of Surgical Academia
2016;6(1):62-65
- CountryMalaysia
- Language:English
-
Abstract:
We report a case of a 7-year-old girl who initially presented with painless right eyelid swelling with full extra-ocular
movement (EOM). She was treated with intravenous broad-spectrum antibiotics for preseptal cellulitis but her
condition worsened. An urgent magnetic resonance imaging (MRI) of the brain and orbit showed orbital abscess,
subperiosteal abscess in the medial orbital wall and evidence of sinusitis in the anterior ethmoidal air cells. She
underwent Endoscopic Orbital Decompression (EOD) surgery on day 4 of presentation and her condition improved
remarkably. We report a case of orbital abscess with subperiosteal abscess in the medial orbital wall. This case
highlights the possibility of progression of orbital cellulitis despite administration of a broad-spectrum antibiotic.
- Full text:P020160607528559428166.pdf
