A pediatric case of orbital cellulitis with pansinusitis and subperiosteal abscess

2021 ◽  
pp. 38-41
Author(s):  
Karly A. Derwitz ◽  
Hanna S. Sahhar ◽  
Kelly A. Ward
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Clinical Signs ◽  
Orbital Cellulitis ◽  
Pediatric Case ◽  
Successful Intervention ◽  
Subperiosteal Abscess ◽  
Preseptal Cellulitis ◽  
Computed Tomographic ◽  
Timely Diagnosis

While less common than preseptal cellulitis, orbital cellulitis can have severe complications. With the proper use of a computed tomographic (CT) scan, physicians can more quickly recognize the clinical signs of orbital cellulitis and begin interventions to properly treat the condition. This case report highlights the importance of timely diagnosis and successful intervention for orbital cellulitis by recognizing infection progression.

Infections of the Aorta: Case Report and Review of Treatment

Vascular ◽  
2005 ◽  
Vol 13 (4) ◽  
pp. 252-256 ◽  
Author(s):  
Shannon Lehner ◽  
Catherine Wittgen
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Ct Scan ◽  
Rapid Development ◽  
Compression Fracture ◽  
Lower Lobe ◽  
Computed Tomographic ◽  
Emergent Operation ◽  
Surgical Options

Radiographic documentation of the rapid development of an aortic infection has not previously been reported. We report the case of a 68-year-old woman who presented with back pain. A computed tomographic(CT) scan documented a nondisplaced L1 compression fracture as well as an atherosclerotic but nonaneurysmal aorta. Two weeks after discharge, she developed left lower lobe pneumonia and was readmitted. A second CT scan was obtained because of continuous complaints of back pain. A contained rupture of the visceral aorta was now clearly visible. Emergent operation successfully repaired her aorta. The microorganisms responsible for aortic infection have changed since the widespread use of antibiotics. Patterns of aortic involvement have also evolved. The difficulty in making these diagnoses, the role of current antibiotic therapy, and the surgical options for these infections will be discussed.

Orbital Cellulitis And Subperiosteal Abscess Of Frontal Bone Complicating Unilateral Pansinusitis: A Case Report

2017 ◽  
Vol 2 (1) ◽  
pp. 49-54
Author(s):  
MA Akinola ◽  
AO Betiku ◽  
AP Adefalujo ◽  
AOA Yusuf ◽  
AO Sorungbe ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Bone ◽  
Orbital Cellulitis ◽  
Surgical Drainage ◽  
Rapid Improvement ◽  
Intravenous Antibiotic ◽  
Subperiosteal Abscess ◽  
Acute Rhinosinusitis ◽  
Life Threatening ◽  
Children And Young Adults

Objective: The aim of this report is to demonstrate that acute rhino-sinusitis may result in orbital cellulitis and even life threatening complications especially intracranial abscesses in children and young adults. Rare complications such as subperiosteal abscess seen in this patient may also occur Morbidity and mortality can be prevented through early diagnosis and treatment by relevant specialists. Method: We present a case report and literature review on unilateral pansinusitis complicated with orbital cellulitis and subperiosteal abscess of the frontal bone. Results: Following a diagnosis of orbital cellulitis and subperiosteal abscess of the frontal bone from a unilateral pansinusitis, an initial intravenous antibiotic was given for 72 hours, followed by a surgical drainage with subsequent rapid improvement. Conclusion: Acute rhinosinusitis may be complicated by orbital cellulitis and abscess formation. Prompt referral to a tertiary health facility as well as ooperation between the Ophthalmologists and Otorhinolaryngologists is very important to prevent life threatening complications. Key words: Orbital cellulitis, Pansinusitis, Subperiosteal abscess

Coincidental Pituitary Adenoma and Parasellar Meningioma: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 19 (2) ◽  
pp. 267-270 ◽  
Author(s):  
Kenji Yamada ◽  
Takashi Hatayama ◽  
Masahiro Ohta ◽  
Katsuaki Sakoda ◽  
Tohru Uozumi
Keyword(s):  
Case Report ◽  
Pituitary Adenoma ◽  
Head Injury ◽  
Ct Scan ◽  
The Other ◽  
Histopathological Findings ◽  
Computed Tomographic ◽  
First Case ◽  
History Of

Abstract We report a patient who had pituitary adenoma and parasellar meningioma coincidentally, with neither irradiation nor a history of head injury. Preoperative computed tomographic (CT) scan had shown a large intrasellar mass with ringlike enhancement; in contact with this mass, another well-enhanced mass had been shown. Histopathologically, the intrasellar mass was diagnosed as chromophobic pituitary adenoma and the other mass as meningotheliomatous meningioma. We present clinical, radiological, and histopathological findings and discuss previously reported cases of coincidental pituitary adenoma and meningioma without irradiation. This is the first case report since the advent of CT that pituitary adenoma and parasellar meningioma in contact with each other could be clearly demonstrated by CT.

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.

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.

Posterior orbital cellulitis: case report and literature review

2013 ◽  
Vol 127 (11) ◽  
pp. 1148-1151 ◽  
Author(s):  
K Allan ◽  
H Atkinson ◽  
F Agada
Keyword(s):  
Case Report ◽  
Relevant Literature ◽  
Clinical Signs ◽  
Visual Disturbance ◽  
Orbital Cellulitis ◽  
Sphenoid Sinusitis ◽  
Intravenous Antibiotics ◽  
Permanent Loss ◽  
History Of ◽  
The Right

AbstractIntroduction:It is rare for isolated sphenoid sinusitis to cause orbital cellulitis. We present a rare case of posterior orbital cellulitis, so caused, together with a review of the relevant literature.Case report:A 29-year-old woman presented with a 6-week history of progressive, unilateral, retro-orbital and periorbital right eye pain. On examination, the only finding was reduced visual acuity in the right eye. A computed tomography scan demonstrated right frontal and sphenoid sinus opacification. Sphenoidotomy and frontal sinus trephination were subsequently performed, following failure to respond to intravenous antibiotics. After surgery, the patient's vision returned to normal.Conclusion:Isolated sphenoid sinusitis is rare but can cause significant visual disturbance and permanent loss of vision. Vague symptoms unsupported by clinical signs at presentation are a feature of posterior orbital cellulitis. The presented case highlights the problem, and the need for a high index of clinical suspicion even in the absence of firm clinical signs, in order to prevent permanent visual loss.

scholarly journals Intraorbital Cavernous Haemangioma (CHM)

1970 ◽  
Vol 6 (1) ◽  
pp. 32-33
Author(s):  
MS Rahman ◽  
MA Hossain
Keyword(s):  
Case Report ◽  
Optic Nerve ◽  
Ct Scan ◽  
Key Words ◽  
Rare Case ◽  
Armed Forces ◽  
Cavernous Haemangioma ◽  
Medical College ◽  
Computed Tomographic ◽  
Rare Case Report

This is an interesting and rare case report of right intraorbital cavernous haemangioma near optic nerve of a12 years boy who was hospitalized for right sided uniocular moderate axial proptosis and headache withoutany impairment of vision. Computed Tomographic (CT) scan showed fusiform enlargement of around rightoptic nerve just behind the eye ball. The mass was removed by right fronto-orbito-zygomatotomy incision anddiagnosed post-operatively as intraorbital cavernous haemangioma (CHM).Key words: Intraorbital cavernous haemangioma.DOI: 10.3329/jafmc.v6i1.5990Journal of Armed Forces Medical College, Bangladesh Vol.6(1) 2010 p.32-33

scholarly journals Left subperiosteal abscess with contralateral preseptal cellulitis: A case report

2018 ◽  
Vol 1 (1) ◽  
pp. 10-12
Author(s):  
Khee Wei Yeo ◽  
Shashi Marimuthub ◽  
Muhammad Bin Abu Bakarbrbi
Keyword(s):  
Case Report ◽  
Subperiosteal Abscess ◽  
Preseptal Cellulitis

Chronic lung lobe torsion in a pug

2018 ◽  
Vol 6 (3) ◽  
pp. e000662
Author(s):  
Ross Christopher Elliott ◽  
Nicky Cassel
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Ct Scan ◽  
Diaphragmatic Hernia ◽  
Clinical Signs ◽  
Radiographic Findings ◽  
Lung Lobe ◽  
The Right ◽  
Lateral Thoracotomy ◽  
Referral Practice

This case report documents a chronic presentation of a lung lobe torsion involving the right cranial and right middle lung lobe in a dog and the benefit of CT in aiding in the diagnosis. The patient presented to the referral practice two weeks after clinical signs developed with minimal resting dyspnoea. The referring veterinarian suspected a diaphragmatic hernia and had been medically managing the patient prior to referral. The radiographic findings showed features more consistent with a lobar mass and no pleural effusion was noted. Signs suggestive of lung lobe torsion were seen on the CT scan, except for the absence of pleural effusion. The patient was a pug, a predisposed breed, which further supported the diagnosis. On lateral thoracotomy a lung lobe torsion of the right cranial and right middle lung lobe was found. Unfortunately the patient did not survive the surgery.

Neurosyphilis Presenting as a Focal Mass Lesion: A Case Report

Neurosurgery ◽  
1984 ◽  
Vol 14 (2) ◽  
pp. 234-237 ◽  
Author(s):  
Lawrence Kulla ◽  
James A. Russell ◽  
Thomas W. Smith ◽  
Joseph L. Zito ◽  
Robin Davidson
Keyword(s):  
Case Report ◽  
White Matter ◽  
Ct Scan ◽  
White Matter Lesion ◽  
Mass Effect ◽  
Mass Lesion ◽  
Low Density ◽  
Computed Tomographic ◽  
Serological Examination

Abstract A patient with subacute aphasia and hemiparesis was found to have a low density white matter lesion with mass effect on the computed tomographic (CT) scan. Serological examination and biopsy established the diagnosis of paretic neurosyphilis. This CT appearance has not previously been described in cases of neurosyphilis. Neurosyphilis should be considered as a potentially treatable cause of a cerebral mass lesion.

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