scholarly journals LAMINA PAPYRACEA DEHISCENCE: CAUSE FOR RECURRENT PRESEPTAL CELLULITIS, ORBITAL CELLULITIS AND ORBITAL ABSCESS IN A CHILD

2018 ◽  
Author(s):  
Ayse Tekin Yilmaz
Keyword(s):  
Orbital Cellulitis ◽  
Preseptal Cellulitis ◽  
Orbital Abscess ◽  
Lamina Papyracea

scholarly journals Orbital Cellulitis in Children: Experience of the Pediatric Service at Mohammed v Military Hospital

2021 ◽  
pp. 6-9
Author(s):  
Jihane Elmahi ◽  
A. Radi ◽  
M. Kmari ◽  
A. Hassani ◽  
R. Abilkasseme ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Orbital Cellulitis ◽  
Military Hospital ◽  
Preseptal Cellulitis ◽  
Orbital Abscess ◽  
Pediatric Service ◽  
Micro Organisms ◽  
Positive Evolution ◽  
Multidisciplinary Patient Care

Background: Orbital cellulitis is a diagnostic and therapeutic emergency, jeopardizing the  vital and functional prognosis. This study aimed to analyze the epidemiological, therapeutic and evolutional aspects of orbital cellulitis cases treated at the pediatric service at Mohamed V military hospital. Patients and methods: retrospective study including all the children aged between 1 month and 15 years treated for orbital cellulitis at the pediatric service of the Mohamed V Hospital over a period of 3 years (1st January 2016-31st December 2019). Results: 24 cases of orbital cellulitis were gathered. Age varied between 1 month and 15 years with a median of age of 6. years. Feminine predominance (58%) was noted . The disease mainly involved the sinus (32%).Clinically, fever was present in 10 patients (41%),palpebral edema was universal, proptosis was noted in 5 cases(20.8%),chemosis and ptosis were noted in 4 cases(16.6%),bacteriological testing identified micro-organisms in 3 cases. An orbital CT scan was performed in all cases of our study, showing preseptal cellulitis in 14 cases (58.3%), orbital cellulitis in 3 cases(12.5%),and orbital abscess in 7 cases. The medical treatment consisted of ceftriaxone, metronidazole and aminoside or amoxicilline clavulanic acid, corticosteroid therapy prescribed in 5 cases. Surgical treatment was indicated in 3 patients. The outcome of All cases was favorable. Conclusion: The majority of our cases had a positive evolution highlighting the advantage of an early diagnosis, and adapted antibiotic and a multidisciplinary patient care making the need for surgery rarely necessary.

scholarly journals Management of Periorbital and Orbital Cellulitis at the Pediatric Emergency Department

2020 ◽  
Author(s):  
Widad Lahmini ◽  
mounir bourrous
Keyword(s):  
Soft Tissues ◽  
Pediatric Emergency ◽  
Orbital Cellulitis ◽  
University Hospital ◽  
Emergency Unit ◽  
Bacteriological Study ◽  
Subperiosteal Abscess ◽  
Preseptal Cellulitis ◽  
Orbital Abscess ◽  
Positive Evolution

Abstract Background : Orbital cellulitis is a diagnostic and therapeutic emergency, jeopardizing the vital and functional prognosis. This study aimed to analyze the epidemiological, therapeutic and evolutional aspects of orbital cellulitis cases treated at the pediatric emergency unit. Patients and methods: retrospective study including all the children aged between 1 month and 15 years treated for orbital cellulitis at the pediatric emergency unit of the Mohamed VI University Hospital of Marrakech over a period of 9 years (1st January 2010-31st December 2018). Results: 129 cases of orbital cellulitis were gathered. Age varied between 1 month and 15 years with a median of age of 4.3 years. Feminine predominance (54%) was noted (sex ratio of 0.84). Preseptal cellulitis had the lead with 101 cases (78.2%). It mainly breaks through sinuses (24%). Fever was present in 101 patients (78.2%). Palpebral edema was constant. Exophthalmia was noted in 18 patients (13.9%), chemosis in 29 cases (22.4%) while ptosis was found in one patient. Bacteriological study conducted in 12 cases was positive in 7 cases. An orbital CT scan was performed in all cases of our study, showing preseptal cellulitis in 101 patients (78.2%), orbital cellulitis in 11 cases (8.5%), subperiosteal abscess in 15 cases (11.6%) and orbital abscess in 2 cases (1.5%). The medical treatment consisted of ceftriaxone, metronidazole and aminoside or amoxicilline clavulanic acid. Surgical treatment was indicated in 8 patients : 3 cases of orbital abscess, 2 cases of periosteal abscess, and 3 cases of abscessed collection of the soft tissues. The evolution was beneficial in all our patients. Conclusion: The majority of our cases had a positive evolution highlighting the advantage of an early diagnosis, and adapted antibiotic and a multidisciplinary patient care making the need for surgery rarely necessary.

Differentiation of Orbital Cellulitis From Preseptal Cellulitis by Computed Tomography

PEDIATRICS ◽  
1978 ◽  
Vol 62 (6) ◽  
pp. 1000-1005
Author(s):  
Frederick Goldberg ◽  
Alfred S. Berne ◽  
Frank A. Oski
Keyword(s):  
Computed Tomography ◽  
Ct Scanning ◽  
Orbital Cellulitis ◽  
Ct Scans ◽  
Preseptal Cellulitis ◽  
Orbital Abscess ◽  
Eyelid Edema ◽  
Eye Examination ◽  
Loss Of Visual Acuity ◽  
Orbital Disease

Computed tomography (CT) was used in the management of four patients with periorbital inflammation. These patients were selected for CT scanning because of the difficulty, on clinical examination alone, in determining the degree of orbital disease. The CT scans confirmed the presence and defined the location of an orbital abscess in three patients and eliminated the presence of an abscess in the fourth. On the basis of this experience, CT scanning is recommended in the evaluation of children with periorbital inflammation in whom proptosis, ophthalmoplegia, or loss of visual acuity develops, or in whom severe eyelid edema prevents adequate eye examination.

scholarly journals Pediatric Preseptal and Orbital Cellulitis: Analysis of Clinical, Laboratory and Imaging Findings of 123 Cases.

2021 ◽  
Author(s):  
Lida Bülbül ◽  
Neslihan Ozkul Saglam ◽  
Gizem Kara Elitok ◽  
Zahide Mine Yazıcı ◽  
Nevin Hatipoglu ◽  
...  
Keyword(s):  
Clinical Laboratory ◽  
Orbital Cellulitis ◽  
Ocular Involvement ◽  
C Reactive Protein ◽  
Predisposing Factor ◽  
Preseptal Cellulitis ◽  
Orbital Involvement ◽  
Reactive Protein ◽  
Pediatric Age Group ◽  
The Right

Abstract Background: To compare the clinical and laboratory characteristics and imaging methods of patients diagnosed with preseptal cellulitis and orbital cellulitis in the pediatric age group. Methods: The study was designed retrospectively and the medical records of all patients who were hospitalized with the diagnosis of preseptal cellulitis and orbital cellulitis were reviewed. The findings of preseptal cellulitis and orbital cellulitis groups were compared. The risk factors for the development of orbital involvement were analyzed. Results: A total of 123 patients were included, 90.2% with preseptal cellulitis and 9.8% with cellulitis. The male gender ratio was 60.2% and the mean age was 72±43 months. While all patients had eyelid swelling and redness 20.3% had fever. Ocular involvement was 51.2% in the right eye and 4.9% in both eyes. The most common predisposing factor was rhinosinusitis (56.1%). Radiological imaging (Computed tomography/magnetic resonance imaging) was performed in 83.7% of the patients. Subperiostal abscess were detected in 7 cases (5.6%) which three of the cases were managed surgically and four were treated with medically. The levels of c-reactive protein were significantly higher in patients with orbital involvement (p:0.033) but there was no difference between the presence of fever, leukocyte and platelet values. Conclusions: Rhinosinusitis was the most common predisposing factor in the development of preseptal cellulitis and orbital cellulitis. Orbital involvement was present in 9.8% of the patients. It was determined that high c-reactive protein value could be used to predict orbital involvement. Keywords: Childhood, preseptal cellulit, rhinosinusit, orbital cellulit, subperiostal abscess.

scholarly journals Preseptal and Orbital Cellulitis: Thirteen Years of Experience and a Novel Scoring System (SNIPPED Score) for Differentiation

2021 ◽  
Author(s):  
Rumeysa Yalçınkaya ◽  
Gönül Tanır ◽  
Suna Özdem ◽  
Meltem Polat ◽  
Zeynep Savaş Şen ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Scoring System ◽  
Orbital Cellulitis ◽  
Upper Respiratory Tract ◽  
Duration Of Symptoms ◽  
Preseptal Cellulitis ◽  
System A ◽  
Beta Coefficient

Abstract We aimed to evaluate clinical and laboratory characteristics of children with preseptal cellulitis (PC) or orbital cellulitis (OC) and to determine whether easily-accessible parameters could be used to predict OC. The data of children diagnosed with PC or OC between January 2008 and December 2020 were evaluated. Patients aged between 1 month and 18 years who were treated with intravenous antibiotics were included. Logistic regression analysis was performed to identify possible parameters in differentiating between PC and OC. A beta coefficient-based method was used to derive the scoring system. A total of 375 patients [202 (53.9%) boys], of whom 35 (9.3%) had OC, were evaluated. Median age was 44 (min-max: 1-192) months. Compared to those with PC, patients with OC were older (p = 0.001), had fever and upper respiratory tract infection (URTI) symptoms more frequently, and demonstrated prolonged symptom and hospitalization times (p˂0.001 for all). Significant differences between groups were observed for numerous parameters; however, logistic regression analysis revealed only five parameters independently associated with OC. The SNIPPED score variables and weights were as follows: sinusitis (2 points), neutrophil-to-lymphocyte ratio > 6.78 (3 points), platelet count > 420.5 x103/mm3 (2 points), proptosis (4 points) and duration of symptoms ≥ 4 days (4 points). A cut-off of ≥ 7 points for OC diagnosis was found to have 91.4% sensitivity, 96.2% specificity, 71.1% PPV, 99.1% NPV and 95.7% accuracy. Conclusion: In addition to showing previously known properties of OC versus PC, our study demonstrated that easily-accessible parameters could be used for the identification of OC.

scholarly journals Orbital cellulitis: early intervention saves vision

2019 ◽  
Vol 7 (1) ◽  
pp. 203
Author(s):  
N. Rajeshwari ◽  
A. Savitha
Keyword(s):  
Early Diagnosis ◽  
Soft Tissues ◽  
Orbital Cellulitis ◽  
Invasive Technique ◽  
Endoscopic Drainage ◽  
Predisposing Factor ◽  
Subperiosteal Abscess ◽  
Preseptal Cellulitis ◽  
Common Location ◽  
Life Threatening

Orbital cellulitis describes an infection involving the soft tissues posterior to the orbital septum including the fat and muscle within the bony orbit. This condition is associated with severe sight and life-threatening complications. Distinguishing it from preseptal cellulitis is difficult, but important. Acute sinusitis is the commonest predisposing factor. Clinical findings alone are not specific enough to distinguish between preseptal and post septal orbital cellulitis. Early diagnosis using CT orbit is important to rule out complications such as orbital cellulitis, subperiosteal abscess. The most common location of subperiosteal abscess is the medial wall of the orbit. Transnasal endoscopic drainage of the abscess is a functional and minimally invasive technique and is the treatment of choice at present. Early diagnosis and intervention are mandatory to prevent the visual loss and life-threatening complication.Here, the authors describe a 2 months old infant with orbital cellulitis and medial subperiosteal abscess and treated with transnasal endoscopic drainage of the subperiosteal abscess.

Differences in characteristics, aetiologies, isolated pathogens, and the efficacy of antibiotics in adult patients with preseptal cellulitis and orbital cellulitis between 2000–2009 and 2010–2019

2021 ◽  
pp. bjophthalmol-2021-318986
Author(s):  
En-Jie Shih ◽  
Jui-Kuang Chen ◽  
Pei-Jhen Tsai ◽  
Youn-Shen Bee
Keyword(s):  
Orbital Cellulitis ◽  
Adult Patients ◽  
Coagulase Negative Staphylococci ◽  
Predisposing Factor ◽  
Methicillin Resistant ◽  
Preseptal Cellulitis ◽  
Gram Positive Bacteria ◽  
Hospitalised Patients ◽  
Susceptibility Tests ◽  
Antibiotic Efficacy

Background/aimsTo understand whether the epidemiology, aetiologies, common pathogens and the antibiotic efficacy against the identified bacteria of periorbital cellulitis in adults have changed recently (2010–2019) compared with the past decade (2000–2009).MethodsAdult patients (n=224) diagnosed with preseptal cellulitis and orbital cellulitis admitted to Kaohsiung Veterans General Hospital during 2000–2019 were retrospectively reviewed. Demographic and clinical characteristics, isolated pathogens and antibiotic susceptibility tests against the commonly cultured bacteria were analysed.ResultsPreseptal cellulitis showed a tendency of female predominance. Patients in their 60s showed an incidence peak; more cases were observed during winter. The most common predisposing factor was dacryocystitis (15.5%–30.5%), followed by hordeolum (15.5%–24.8%). Aetiology of sinusitis (p=0.001) decreased and that of conjunctivitis (p=0.007) increased significantly with time. Culture results of nasopharyngeal swabs and local abscess showed higher positivity rate than conjunctival swab. The most common isolates were methicillin-susceptible Staphylococcus aureus, methicillin-resistant S. aureus, coagulase-negative staphylococci and Pseudomonas aeruginosa. Antibiotics including fluoroquinolones and vancomycin were effective; in contrast, ampicillin/sulbactam and oxacillin showed decreasing efficacy against gram-positive bacteria. For antibiotic treatment against P. aeruginosa, fluoroquinolones, ceftazidime, piperacillin and imipenem were ideal choices.ConclusionIn isolated pathogens, the increasing trend of methicillin-resistant S. aureus detection was compatible with reducing oxacillin efficacy against periorbital infection. In our study, the report of antibiotic efficacy against the most common identified bacteria offered empirical choices for hospitalised patients with periorbital infection before obtaining culture results.

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