Orbitary-palpebral abscess. Acute rhinosinusitis was not healed

Authors

  • Miguel Alberto Rodríguez Pérez Facultativo Especialista de Área - Unidad de Gestión Clínica de Otorrrinolaringología. Hospital Universitario de Puerto Real, Cádiz
  • Eulalia Porras Alonso Directora de Unidad - Unidad de Gestión Clínica de Otorrrinolaringología. Hospital Universitario de Puerto Real, Cádiz

DOI:

https://doi.org/10.34631/sporl.620

Keywords:

abscess, edema, eyeball, eyelid, rhinosinusitis

Abstract

Case Report: We present a case report in a 20-year-old boy who attended the Emergency Unit with proptosis, redness and righteye- swelling, fluctuating in palpation, accompanied by fever and moderate flu symptoms. He had been suffering from a severe acute rhinosinusitis with abundant nasal mucus for some weeks before, that regarding the evolution, was undertreated.

Discussion: After CT scan and diagnosis of orbitary abscess as a result of an acute rhinosinusitis complication, the patient underwent surgical drainage and appropriate intravenous antibiotic and corticosteroid therapy. He recovered in a few days, and the microbiology results revealed aerobic and anaerobic germs (Streptococcus intermedius and Eikenella corrodens).

Author Biography

Miguel Alberto Rodríguez Pérez, Facultativo Especialista de Área - Unidad de Gestión Clínica de Otorrrinolaringología. Hospital Universitario de Puerto Real, Cádiz

Facultativo Especialista en ORL y Patología Cérvico-Facial

Master en Patología de la Voz.

References

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- Kinis, V; Ozbay, M; Bakir, S. “Management of orbital complications of sinusitis in pediatric patients”. J. Craniofac. Surg. (2013). 24, 1706-1710.

- Foden, N; Burgess, C; Shepherd, K; Almeyda, R. “A guide to the management of acute rhinosinusitis in primary care management strategy based on best evidence and recent European guidelines”. British Journal of General Practice 2013;63: 611–613.

- Singh, SK; James, E; Sabarigirish, K; Swami, H. “Bilateral orbital complications of paediatric rhinosinusitis”. Medical Journal Armed Forces India. 70 (2014). 68-72.

– Nomura, K; Honkura, Y; Ozawa, D. “Endoscopic Drainage of Orbital subperiosteal Hematoma Secondary to Acute Rhinosinusitis in a Child”. Tohoku J. Exp. Med., 2014, 233 , 171-174.

Published

2017-10-30

How to Cite

Rodríguez Pérez, M. A., & Alonso, E. P. (2017). Orbitary-palpebral abscess. Acute rhinosinusitis was not healed. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 54(4), 271–273. https://doi.org/10.34631/sporl.620

Issue

Section

Case Report