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ISSN 1028-4818 (Electronic)

2017, Number 5

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Mul Med 2017; 21 (5)

Ethmoiditis complicated with orbital cellulitis. Presentation of a case

Méndez PA, Pompa MLA, Cabrales MN, Remón MMD, Días HY

Language: Spanish
References: 20
Page: 678-691
PDF size: 138.87 Kb.


ABSTRACT

Introduction: unilateral inflammation of an eyelid is a reason for a relatively frequent pediatric consultation. This sign may be due to multiple causes including preseptal cellulitis and orbital cellulitis. Case report: a case of a 3-month-old female infant with admission to the Luis A Milanés pediatric hospital due to febrile syndrome, after vaccination with AM-BC and oral antipoly, associated with irritability and rejection Food, with intravenous treatment (cefuroxima), with no history of respiratory disease. It was assessed on the third day by ophthalmology due to an increase in left periorbital volume and flushing, yellowish secretions and it was found in the examination skin lesion of the upper eyelid towards inner edge, with outlet of pus. Preseptal cellulitis was diagnosed in the left eye, treatment with intravenous metronidazole, ceftriaxone and vancomycin. The patient was admitted to the intensive care unit and the patient was shown to have left-sided secretions with negative results, and the following were indicated: Hb 7.6 g / l, PCR 48mg / dl, erythrocyte sedimentation 57mm / h, methicillin-resistant Staphylococcus aureus positive hemoculture. On the seventh day, previous treatment for worsening was discontinued and meropenem and linezolid were started. Left ethmoiditis was observed on computed tomography and magnetic resonance imaging. It was evaluated by otorhinolaryngology and ophthalmology. Surgical treatment: incision and eyelid drainage. Conclusions: Orbital cellulitis and orbital abscesses are commonly associated with dissemination of a sinus infection (sinusitis), hospital observation and intravenous treatment should be assessed in children younger than one year. Treatment should be precocious and multidisciplinary to avoid complications.


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