317 results match your criteria Cellulitis Preseptal


Upper Eyelid Necrosis Secondary to Hordeolum: A Case Report.

Case Rep Ophthalmol 2021 Jan-Apr;12(1):270-276. Epub 2021 Apr 19.

Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil.

We reported a case of upper eyelid necrosis initially misdiagnosed as a preseptal cellulitis following a hordeolum externum resulting in great damage to the upper eyelid (anterior lamella). The infection was successfully treated with surgical cleansing, drainage, and endovenous antibiotics. Early treatment may avoid severe complications such as eyelid deformity, systemic involvement, and blindness. Read More

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Pott's Puffy Tumor in an Inflammatory Bowel Disease Patient on Anti-TNF Therapy.

Am J Case Rep 2021 May 25;22:e929892. Epub 2021 May 25.

Department of Pediatric Gastroenterology, Hepatology and Nutrition, University of Nebraska Medical Center, Omaha, NE, USA.

BACKGROUND Anti-TNF-alpha therapies were the first class of biologics to be used in treatment of moderate to severe IBD. Immunosuppression status that develops from using anti-TNF-a therapies increases the risk of serious and opportunistic infections. We present here a rare case of serious infection that developed in an IBD patient while on anti-TNF therapy. Read More

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Preseptal cellulitis and infraorbital abscess as a complication of a routine COVID-19 swab.

BMJ Case Rep 2021 May 19;14(5). Epub 2021 May 19.

Ophthalmology, Sherwood Forest Hospitals NHS Foundation Trust, Sutton-In-Ashfield, UK.

This case report describes a significant complication of a routine COVID-19 swab in a previously fit and well young patient who developed preseptal cellulitis and an infraorbital abscess as a consequence of the mentioned nasal swabbing. Other authors have previously reported various complications in connection with the use of nasal swabs, including retained swab fragments, epistaxis and cerebrospinal fluid leakage. To our knowledge, to date, this is the first reported case of an abscess as a consequence of COVID-19 swabbing. Read More

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Orbital Cellulitis Secondary to Dental Abscess in Children.

Cureus 2021 Apr 9;13(4):e14392. Epub 2021 Apr 9.

Ophthalmology Clinic, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, MYS.

Paediatric orbital cellulitis is a potential sight- and life-threatening condition. It is a serious infection in children that can result in significant complications, including blindness, cavernous sinus thrombosis, cerebral venous sinus thrombosis, meningitis, subdural empyema, and brain abscess. Of the patients with orbital cellulitis, 17% died from meningitis, and 20% of the survivors had permanent loss of vision. Read More

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Acute ptosis as a presentation of preseptal cellulitis leading to cerebral abscess in a patient with uncontrolled diabetes.

Malays Fam Physician 2021 Mar 8;16(1):136-138. Epub 2021 Feb 8.

MBBS (Hons)(Monash), MRCPCH (UK), Associate Professor, Department of Paediatrics, Faculty of Medicine University of Malaya, Kuala Lumpur, Malaysia. Email:

Acute ptosis due to preseptal cellulitis requires urgent medical attention, as the infection can extend posteriorly into the orbit, leading to significant visual and cerebral complications. We report a case of a 58-year-old woman with uncontrolled diabetes mellitus presenting with acute ptosis due to preseptal cellulitis. After initial resolution of fever with intravenous amoxicillin-clavulanate, she experienced a seizure due to cerebral abscess a week later and was treated with intravenous ceftriaxone. Read More

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Analysis of 10 cases of orbital infections arising from odontogenic cervicofacial infections.

Niger J Clin Pract 2021 Apr;24(4):546-550

Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

Background: Orbital cellulitis, also called postseptal cellulitis, is an infection of contents of the orbit (periorbital fat, neurovascular bundle, and the extraocular muscles). It should be differentiated from preseptal (periorbital) cellulitis which is a lesion of the anterior portion of the eyelid. However, both preseptal and postseptal cellulitis could present in a similar way with eye pain, edema, and erythema. Read More

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Preseptal cellulitis associated with cosmetic eyelash lifting procedure.

J Cosmet Dermatol 2021 Jun 16;20(6):1846-1848. Epub 2021 Apr 16.

Division of Ophthalmic Plastic and Reconstructive Surgery, University of Health Sciences, Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Institute, Istanbul, Turkey.

Background: The increased popularity of periocular cosmetic applications in recent years has resulted in the appearance of various complications. The cosmetic eyelash lifting is one of these new techniques and is gradually becoming more popular. There are no previous reports of any complications of this procedure in the literature. Read More

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Bilateral periorbital leukemia cutis presenting as suspected cellulitis.

Orbit 2021 Mar 7:1-3. Epub 2021 Mar 7.

Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, Ohio, USA.

Many conditions present with periorbital edema and erythema, mimicking preseptal cellulitis. We report the unique case of a patient with relapsed monoblastic mutant isocitrate dehydrogenase-2 (IDH2) acute myeloid leukemia (AML) who presented with periorbital edema and erythema, unresponsive to antibiotics. Histopathology from punch biopsy was consistent with leukemia cutis. Read More

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More Than Meets the Eye: Idiopathic Orbital Inflammation Mimicking Orbital Cellulitis.

Cureus 2021 Jan 12;13(1):e12655. Epub 2021 Jan 12.

Pediatrics, Yale School of Medicine, New Haven, USA.

An 18-year-old female presented with left eye periorbital swelling, erythema, and pain for three days. Computed tomographic images showed swelling of the medial rectus muscle, and she was diagnosed with orbital cellulitis and initiated on empiric antibiotics. Over the next 48 hours, she did not clinically improve, resulting in an MRI and further workup of infectious, oncologic, endocrinologic, and rheumatologic etiologies was unrevealing and ruled-out malignancy, sarcoidosis, Wegner's, and thyroid eye disease. Read More

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January 2021

Unilateral periorbital swelling in children: avoid delays in diagnosis.

BMJ Case Rep 2021 Feb 1;14(2). Epub 2021 Feb 1.

Ophthalmology, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India.

A 10-year-old child had painful periorbital swelling in the left eye. It was diagnosed as preseptal cellulitis and treated with oral antibiotics. Three days later, the ocular condition worsened so the child was referred for further management. Read More

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February 2021

Allergic fungal rhinosinusitis presenting with intracranial spread along large sphenoidal emissary foramen.

Med Mycol Case Rep 2021 Jun 11;32:10-13. Epub 2021 Jan 11.

University of Florida College of Medicine - Jacksonville, Jacksonville, FL, USA.

A 13-year-old girl was admitted for headache, right periorbital swelling and erythema. CT imaging demonstrated right orbital preseptal cellulitis, severe pansinusitis and suspected epidural abscess. Brain MRI and sinus CT confirmed an epidural abscess in the right middle cranial fossa and a second extra-cranial abscess in the right infratemporal fossa along with large right sphenoidal emissary foramen. Read More

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What is the risk of missing orbital cellulitis in children?

Arch Dis Child 2021 Jan 8. Epub 2021 Jan 8.

Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia

Background: Preseptal cellulitis can be difficult to distinguish from orbital cellulitis in children. The majority of patients with periorbital infections are admitted for intravenous antibiotics. This study aimed to investigate the risk of missing orbital cellulitis and the outcomes of missed patients. Read More

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January 2021

Evaluation of Pediatric Preseptal Cellulitis Cases Diagnosed with Meningitis by Magnetic Resonance Imaging.

Sisli Etfal Hastan Tip Bul 2020 11;54(4):497-501. Epub 2020 Dec 11.

Department of Pediatry, University of Health Science Turkey, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Rhinosinusitis is a common infection and may rarely cause severe life-threatening orbital and intracranial complications. In this study, two cases with preseptal cellulitis and meningitis as a complication of rhinosinusitis were presented in the light of the literature. A nine years and two months old girl was admitted with complaints as fever, redness and swelling in the left eye. Read More

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December 2020

Severe nonbacterial preseptal cellulitis from adenovirus detected via pooled meta-genomic testing.

Clin Case Rep 2020 Dec 3;8(12):3503-3506. Epub 2020 Nov 3.

Department of Hospital Medicine CHI St Vincent Infirmary Little Rock AR USA.

Preseptal cellulitis is a serious diagnosis that can progress to postseptal cellulitis leading to grave consequences. Clinically, viral and bacterial cellulitis can be indistinguishable from each other. Using rapid DNA/RNA sequencing can be helpful. Read More

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December 2020

When upper respiratory tract infections go rogue: A case report of Cerebral Abscess.

IDCases 2021 21;23:e01014. Epub 2020 Nov 21.

Department of Neurosurgery, Walter Reed National Military Medical Center, Maryland, United States.

is an extremely rare cause of cerebral abscess. We present a unique case of sinusitis complicated by preseptal cellulitis and cerebral abscess. The patient initially presented with pharyngitis and then developed sinus congestion, headache and facial pain. Read More

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November 2020

Rhino-Orbital Mucormycosis Associated With COVID-19.

Cureus 2020 Sep 30;12(9):e10726. Epub 2020 Sep 30.

Chest Medicine, Lilavati Hospital and Research Center, Mumbai, IND.

Coronavirus disease 2019 (COVID-19) infections may be associated with a wide range of bacterial and fungal co-infections. We report the case of a patient with COVID-19 infection, which, during the course of the treatment, developed rhino-orbital mucormycosis. A 60- year-old male patient, a longstanding diabetic, with a positive reverse-transcriptase polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was admitted for treatment. Read More

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September 2020

Routes of Spread to Eye from the Notorious Neighbour i.e. Nose, Sinuses and Nasopharynx.

Indian J Otolaryngol Head Neck Surg 2020 Dec 6;72(4):411-415. Epub 2020 Feb 6.

Osmania Medical College/Government ENT Hospital, Koti, Hyderabad, India.

Due to close anatomical relationship of eye with nose and sinuses it is liable to get involved secondary to sinonasal and nasopharyngeal pathology. Sinonasal and nasopharyngeal pathology may present with varied ophthalmic manifestations. Ocular involvement from sinonasal diseases occur due to direct spread to orbit, venous spread due to valveless nature of veins, cranial nerve involvement, nasolacrimal apparatus involvement and intracranial spread. Read More

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December 2020

Feasibility of rapid magnetic resonance imaging (rMRI) for the emergency evaluation of suspected pediatric orbital cellulitis.

J AAPOS 2020 10 10;24(5):289.e1-289.e4. Epub 2020 Oct 10.

Department of Radiology, Children's Hospital & Medical Center, Omaha, Nebraska.

Purpose: To determine the feasibility of noncontrast rapid magnetic resonance imaging (rMRI), compared with traditional contrast-enhanced computed tomography (CT) in assessing pediatric emergency department patients with suspected orbital cellulitis or orbital abscess.

Methods: All subjects <19 years of age who presented emergently with suspected orbital cellulitis from July 1, 2017, to July 31, 2019, were included. Participants received both the standard contrast orbital CT, if deemed necessary, with the addition of the noncontrast rMRI after informed consent was obtained. Read More

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October 2020

[Preseptal cellulitis to suspected odontogenic origin treated with intensive therapy].

Ugeskr Laeger 2020 08;182(36)

A 55-year-old woman was hospitalised due to sudden redness and swelling around the left eye as well as malaise. Prior to hospitalisation, the patient was treated with antibiotics because of a dental infection. The patient was admitted to the hospital for more than three weeks and received intravenous antibiotics, which was changed several times due to treatment failure. Read More

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Infection After Endoscopic Dacryocystorhinostomy: Incidence and Implications.

Am J Rhinol Allergy 2021 May 16;35(3):375-382. Epub 2020 Sep 16.

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts.

Background: Endoscopic dacryocystorhinostomy (EN-DCR) is an increasingly common procedure performed by otolaryngologists. While EN-DCR has a high rate of success at relieving blockage of the lacrimal system, little is known regarding associated postoperative infection (POI) rates and risk factors.

Objective: The purpose of this study was to identify factors associated with the occurrence of postoperative orbital and rhinologic infection in a large cohort of patients undergoing EN-DCR. Read More

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Spectrum of Orbital Cellulitis on Magnetic Resonance Imaging.

Cureus 2020 Aug 11;12(8):e9663. Epub 2020 Aug 11.

Radiology, Bharati Vidyapeeth Hospital, Pune, IND.

Introduction Orbital infection is an ophthalmological emergency as it can lead to blindness and intracranial spread. Imaging is needed to determine the extent of the infection, to localize an abscess, and for surgical planning. The role of magnetic resonance imaging (MRI) is well established in the evaluation of orbital pathologies, including orbital cellulitis and abscess, mainly due to its ability to evaluate early intracranial involvement. Read More

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Phthisis Bulbi in a Retinitis Pigmentosa Patient after Argus II Implantation.

Case Rep Ophthalmol Med 2020 17;2020:5608058. Epub 2020 Aug 17.

Department of Ophthalmology, University of Florida, USA.

Purpose: To report a previously unreported complication of phthisis after Argus II prosthesis implantation in a retinitis pigmentosa (RP) patient.

Case: A 61-year-old male with advanced RP presented to the retina clinic. The patient had a history of vitrectomy in both eyes (OU) in Cuba in 1996. Read More

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More than Meets the Eye: Aspergillus-Related Orbital Apex Syndrome.

Cureus 2020 Jul 23;12(7):e9352. Epub 2020 Jul 23.

Otolaryngology, Medical Center Health System, Odessa, USA.

The patient is a 67-year-old Caucasian male with a past medical history of diabetes mellitus type 2, coronary artery disease (CAD) status post stent placement, renal cell carcinoma (RCC) status post left nephrectomy and bilateral adrenalectomy secondary to metastatic disease, and aspergillus pneumonia who was transferred from an outside hospital for evaluation of progressively worsening pulsating right temple and retrobulbar headache. Initial studies ruled out glaucoma, giant cell arteritis, and stroke, or aneurysmal pathology. The only positive finding was right sphenoid sinus disease on imaging that had caused bony destruction and infiltration of the right orbital apex. Read More

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Optimizing aesthetics following surgical management of periorbital necrotizing fasciitis.

Am J Otolaryngol 2020 Nov - Dec;41(6):102668. Epub 2020 Aug 11.

Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, MA, USA; Floating Hospital For Children at Tufts Medical Center, Boston, MA, USA. Electronic address:

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January 2021

Bilateral Ocular Necrotizing Fasciitis in an Immunosuppressed Patient on Prescription Eye Drops.

Cureus 2020 Jul 11;12(7):e9129. Epub 2020 Jul 11.

Otolaryngology, University of Cincinnati College of Medicine, Cincinnati, USA.

Preseptal cellulitis is an infection of ocular tissue that is often unilateral and caused by extension of sinonasal disease. In rare instances it can lead to life-threatening necrotizing fasciitis. We present here a unique case of bilateral preseptal cellulitis incited by local conjunctivitis caused by prescription eye drops. Read More

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Orbital complications of pediatric rhinosinusitis: A single institution report.

Turk J Pediatr 2020 ;62(4):533-540

Department of Otorhinolaryngology, Ege University Faculty of Medicine, İzmir.

Background And Objectives: Rhinosinusitis is one of the most common infections of childhood. Rhinosinusitis usually limits itself in the pediatric age group, however orbital and intracranial complications may arise in some of the patients. The purpose of the study was to retrospectively analyse the previous treatments and outcomes in pediatric rhinosinusitis patients with orbital complications. Read More

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January 2020

Endophthalmitis resulting from gonococcal keratoconjunctivitis.

New Microbes New Infect 2020 Jul 27;36:100724. Epub 2020 Jun 27.

Division of Clinical Microbiology, University of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

is a global pathogen with significant morbidity. This bacterium is one of the common causes of sexually transmitted diseases; however, ocular gonococcal infection is rare. The gonococcal ocular infection can lead to ulcerative keratitis and/or corneal perforation. Read More

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Common inflammatory and infectious conditions of the eyelid.

Dis Mon 2020 Oct 1;66(10):101042. Epub 2020 Jul 1.

Division of Ophthalmology, NorthShore University HealthSystem, Evanston, IL, United States; Department of Ophthalmology and Visual Science, University of Chicago, Chicago, IL, United States. Electronic address:

Patients with infection or inflammation of the eyelid will often first present to their primary care physicians with symptoms such as redness, swelling, tearing, itchiness, or a foreign body sensation. There are a variety of conditions that affect the eyelid which can cause such symptoms, and the exam and history can help a provider differentiate some of the more common conditions. This article will provide a comprehensive review of the background, diagnosis and management of dry eye disease, chalazion, hordeolum (stye), and preseptal cellulitis. Read More

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October 2020

Management of preseptal and orbital cellulitis for the primary care physician.

Dis Mon 2020 Oct 1;66(10):101044. Epub 2020 Jul 1.

Department of Ophthalmology and Visual Science, University of Chicago, Chicago, IL, United States; Department of Surgery, Northshore University HealthSystem, 2050 Pfingsten Rd., Ste. 280, Glenview, IL 60026, United States. Electronic address:

Preseptal cellulitis and postseptal (orbital) cellulitis represent a spectrum of orbital infections which a primary care provider and ophthalmologist may see during practice. Most often these conditions occur through spread from the sinuses, though there are a variety of other inciting factors. These conditions can both present with erythema and edema, but a complete and thorough exam can help a practitioner differentiate the two. Read More

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October 2020

Hospital-Associated Multidrug-Resistant MRSA Lineages Are Trophic to the Ocular Surface and Cause Severe Microbial Keratitis.

Front Public Health 2020 3;8:204. Epub 2020 Jun 3.

Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, United States.

Methicillin-resistant (MRSA) is a common cause of severe and difficult to treat ocular infection. In this study, the population structure of 68 ocular MRSA isolates collected at Massachusetts Eye and Ear between January 2014 and June 2016 was assessed. By using a combination of multilocus sequence typing (MLST) analysis, SCC typing and detection of the panton-valentine leukocidin (PVL) gene, we found that the population structure of ocular MRSA is composed of lineages with community and hospital origins. Read More

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