Orbitary-palpebral abscess. Acute rhinosinusitis was not healed
DOI:
https://doi.org/10.34631/sporl.620Keywords:
abscess, edema, eyeball, eyelid, rhinosinusitisAbstract
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).
Downloads
References
- Lindbaek M. “Acute sinusitis: guide to selection of antibacterial therapy”. Drugs 2004; 64(8):805–819.
- Gavriel, H; Jabrin, B; Eviatar, E. “Management of superior subperiosteal orbital abscess”. Eur Arch Otorhinolaryngol. DOI 10.1007/s00405-015-3557-1.
- 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.
