Odontogenic orbital cellulitis in a young man with complete vision loss – a case report
| Autor: | Agata Stąpor, Dariusz Chlubek, Maciej Sikora, Marcin Sielski, Krzysztof Wróbel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Enterococcus avium
medicine.medical_specialty biology medicine.diagnostic_test business.industry Physical examination General Medicine Ischemic optic neuropathy medicine.disease biology.organism_classification Surgery 03 medical and health sciences 0302 clinical medicine 030221 ophthalmology & optometry medicine Central retinal artery occlusion 030212 general & internal medicine Orbital cellulitis Abscess Complication business Pathological |
| Zdroj: | Pomeranian Journal of Life Sciences. 66:41-45 |
| ISSN: | 2719-6313 |
| DOI: | 10.21164/pomjlifesci.746 |
| Popis: | Odontogenic inflammation in humans can spread to adjacent anatomical structures, causing pathological changes that are dangerous to health and, in some cases, life. In this paper, we present an unusual case of odontogenic orbital cellulitis caused by both Lactobacillus rhamnosus and Enterococcus avium, which resulted in blindness of the eye in a 25-year-old man. Orbital cellulitis is more common in children due to the relative immaturity of their immune systems whereas it is rare in adults – in most cases, it occurs as a complication of paranasal sinusitis. An accurate diagnosis requires not only a thorough clinical examination but also appropriate imaging tests (such as a computed tomography or nuclear magnetic resonance test). Successful treatment largely depends on the earliest possible implementation of pharmacological therapy. In cases where it is justified, surgical procedures to decompress and drain the abscess should also be considered. However, in the case described in this publication, the patient did not regain vision in the affected eye despite the implementation of both intensive pharmacological treatment and surgical treatment, probably due to ischemic optic neuropathy and central retinal artery occlusion caused by severe infraorbital oedema. |
| Databáze: | OpenAIRE |
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