Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child

We report a case of a 7-year-old girl who initially presented with painless right eyelid swelling with full extra-ocular movement (EOM). She was treated with intravenous broad-spectrum antibiotics for preseptal cellulitis but her condition worsened. An urgent magnetic resonance imaging (MRI) of the...

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Main Authors: Noor Aniah Azmi, Norshamsiah MD, Bastion, Mae-Lynn Catherine, Safinaz Mohd Khialdin, Mawaddah Azman
Format: Article
Language:English
Published: Faculty of Medicine, UKM Medical Centre 2016
Online Access:http://journalarticle.ukm.my/9840/
http://journalarticle.ukm.my/9840/1/14._Noor_Aniah_et_al..pdf
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author Noor Aniah Azmi,
Norshamsiah MD,
Bastion, Mae-Lynn Catherine
Safinaz Mohd Khialdin,
Mawaddah Azman,
author_facet Noor Aniah Azmi,
Norshamsiah MD,
Bastion, Mae-Lynn Catherine
Safinaz Mohd Khialdin,
Mawaddah Azman,
author_sort Noor Aniah Azmi,
building UKM Institutional Repository
collection Online Access
description We report a case of a 7-year-old girl who initially presented with painless right eyelid swelling with full extra-ocular movement (EOM). She was treated with intravenous broad-spectrum antibiotics for preseptal cellulitis but her condition worsened. An urgent magnetic resonance imaging (MRI) of the brain and orbit showed orbital abscess, subperiosteal abscess in the medial orbital wall and evidence of sinusitis in the anterior ethmoidal air cells. She underwent Endoscopic Orbital Decompression (EOD) surgery on day 4 of presentation and her condition improved remarkably. We report a case of orbital abscess with subperiosteal abscess in the medial orbital wall. This case highlights the possibility of progression of orbital cellulitis despite administration of a broad-spectrum antibiotic.
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spelling oai:generic.eprints.org:98402016-12-14T06:51:00Z http://journalarticle.ukm.my/9840/ Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child Noor Aniah Azmi, Norshamsiah MD, Bastion, Mae-Lynn Catherine Safinaz Mohd Khialdin, Mawaddah Azman, We report a case of a 7-year-old girl who initially presented with painless right eyelid swelling with full extra-ocular movement (EOM). She was treated with intravenous broad-spectrum antibiotics for preseptal cellulitis but her condition worsened. An urgent magnetic resonance imaging (MRI) of the brain and orbit showed orbital abscess, subperiosteal abscess in the medial orbital wall and evidence of sinusitis in the anterior ethmoidal air cells. She underwent Endoscopic Orbital Decompression (EOD) surgery on day 4 of presentation and her condition improved remarkably. We report a case of orbital abscess with subperiosteal abscess in the medial orbital wall. This case highlights the possibility of progression of orbital cellulitis despite administration of a broad-spectrum antibiotic. Faculty of Medicine, UKM Medical Centre 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9840/1/14._Noor_Aniah_et_al..pdf Noor Aniah Azmi, and Norshamsiah MD, and Bastion, Mae-Lynn Catherine and Safinaz Mohd Khialdin, and Mawaddah Azman, (2016) Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child. Journal of Surgical Academia, 6 (1). pp. 62-65. ISSN 2231-7481 http://jsurgacad.com/toc/6/1
spellingShingle Noor Aniah Azmi,
Norshamsiah MD,
Bastion, Mae-Lynn Catherine
Safinaz Mohd Khialdin,
Mawaddah Azman,
Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child
title Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child
title_full Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child
title_fullStr Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child
title_full_unstemmed Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child
title_short Case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child
title_sort case report: progression of pre-septal cellulitis to orbital subperiosteal abscess despite intravenous broad-spectrum antibiotics in a child
url http://journalarticle.ukm.my/9840/
http://journalarticle.ukm.my/9840/
http://journalarticle.ukm.my/9840/1/14._Noor_Aniah_et_al..pdf