Bilateral orbital abscess secondary to pediatric acute rhinosinusitis: a case report and literature review.

Autor: Heilig Y; Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University, Yitzhak I. Rager Blvd 151, 84101, Beer Sheva, Israel. Electronic address: yotam.heilig@gmail.com., Yafit D; Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University, Yitzhak I. Rager Blvd 151, 84101, Beer Sheva, Israel., Schneider S; Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University, Yitzhak I. Rager Blvd 151, 84101, Beer Sheva, Israel., Kordeluk S; Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University, Yitzhak I. Rager Blvd 151, 84101, Beer Sheva, Israel., Ziv O; Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University, Yitzhak I. Rager Blvd 151, 84101, Beer Sheva, Israel.
Jazyk: angličtina
Zdroj: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2024 Oct; Vol. 28 (5), pp. 103986. Date of Electronic Publication: 2024 Aug 06.
DOI: 10.1016/j.jaapos.2024.103986
Abstrakt: A 13-month-old boy presented with bilateral periorbital swelling accompanied by rhinorrhea and fever. Nasal endoscopy revealed middle meatus edema and purulent discharge. He was diagnosed with bilateral preseptal cellulitis and treated with intravenous antibiotics. Continuous fever and new-onset proptosis with extraocular muscle restriction the next day prompted imaging, which revealed sinusitis with bilateral subperiosteal abscesses. He underwent endoscopic sinus surgery with bilateral abscess drainage and recovered uneventfully. Bilateral orbital complications of acute sinusitis are exceedingly rare occurrences and nearly always require surgical treatment.
(Copyright © 2024 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE