338 results match your criteria Cellulitis Preseptal


Recurrent noninfectious preseptal cellulitis secondary to cocaine use and levamisole-associated vasculitis.

Proc (Bayl Univ Med Cent) 2022 22;35(4):534-536. Epub 2022 Apr 22.

Department of Ophthalmology, Central Texas Veterans Health Care System, Temple, Texas.

A 57-year-old man with a history of cocaine dependence presented with acute left-sided preseptal cellulitis preceded by polyarthralgias, fever, and malaise. He endorsed numerous past episodes of alternating right- and left-sided eyelid edema over 10 years, always occurring within 12 hours to 1 week following cocaine use. While in the hospital, he developed worsening eyelid edema with purpura, dactylitis, and ulcerations of his oral mucosa and lower extremity. Read More

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Periocular non-tuberculous mycobacterial infection after autologous fat transfer with micro-needling and fractional radiofrequency skin resurfacing.

Orbit 2022 Jun 24:1-3. Epub 2022 Jun 24.

Consultants in Ophthalmic and Facial Plastic Surgery, P.C, Southfield, MI, USA.

A 59-year-old woman with prior bilateral lower eyelid autologous fat transfer, subdermal micro-needling and fractional radiofrequency skin resurfacing presented with delayed left-sided preseptal cellulitis with small multinodular abscesses unresponsive to oral outpatient antibiotic regimens and inpatient intravenous antibiotics. Wound culture revealed infection treated successfully with a 4-month regimen of clarithromycin and tedizolid without recurrence. This case highlights (1) the need for vigilance and a broad differential in delayed post-operative wound infections including non-tuberculous mycobacterial infections, (2) resolution of infection without recurrence on clarithromycin and novel tedizolid oral antibiotic therapy, and (3) that caution should be exercised when performing combination autologous fat transfers with subdermal micro-needling procedures as the breakdown in skin integrity may potentiate infection. Read More

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Wells Syndrome Presenting as Atypical Periorbital Cellulitis.

Ophthalmic Plast Reconstr Surg 2022 Jun 14. Epub 2022 Jun 14.

Department of Ophthalmology, Ophthalmic Plastic Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.

A 62-year-old man presented with diffuse, painless, left-sided preseptal edema, erythema, and woody induration extending to the left temple. The induration generated an orbital compartment syndrome with markedly elevated intraocular pressure necessitating lateral canthotomy and cantholysis. Although atypical for an infectious etiology, empiric broad-spectrum intravenous antibiotics were initiated with no improvement. Read More

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An Unusual Etiology of Lemierre-Like Syndrome: Preseptal Cellulitis due to Methicillin-Resistant .

Open Forum Infect Dis 2022 May 18;9(5):ofac143. Epub 2022 Apr 18.

Division of Infectious Disease, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

Lemierre's syndrome (LS) is a rare and potentially fatal condition that predominantly affects young adults with oropharyngeal infection. is the usual etiology and classically causes internal jugular vein septic thrombophlebitis, frequently complicated by septic emboli to several organs (most classically to the lungs). Lemierre-like syndrome (LLS) describes the same constellation of symptoms and pathophysiology as Lemierre's syndrome; however, spp. Read More

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Incidence of infectious complications following strabismus surgery.

J AAPOS 2022 Apr 15. Epub 2022 Apr 15.

Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California. Electronic address:

A total of 167 cases (0.111%) of infectious complications (endophthalmitis, orbital cellulitis, preseptal cellulitis, and postoperative infection) were identified in patients after strabismus surgery. The incidence of postoperative endophthalmitis was approximately 1 per 13,700 strabismus surgeries (0. Read More

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Carotid cavernous fistula secondary to ruptured carotid cavernous aneurysm causing orbital compartment syndrome.

Am J Ophthalmol Case Rep 2022 Mar 21;25:101310. Epub 2022 Jan 21.

Department of Ophthalmology, Kittner Eye Center at University of North Carolina, 2226 Nelson Highway, Chapel Hill, NC, USA.

Purpose: To report the rare presentation of orbital compartment syndrome secondary to formation of carotid cavernous fistula in the absence of trauma or surgery and demonstrate the role of emergent canthotomy/cantholysis as a vision saving procedure.

Observations: A 28-year-old African American female with obesity and migraines presented to the emergency department (ED) with the worst headache of her life after a severe episode of vomiting and dry heaving. Initial CT scan was negative for subarachnoid hemorrhage and patient was discharged. Read More

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Multi-resistant dacryocystitis and preseptal cellulitis: case and review of literature.

Orbit 2022 Jan 25:1-4. Epub 2022 Jan 25.

Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia.

A 61-year-old man with no significant past medical history presented to a quaternary ophthalmic referral center with acute right-sided medial canthal pain, periorbital edema, and erythema despite oral antibiotic therapy. CT imaging confirmed the presence of right preseptal cellulitis and lacrimal sac aspiration identified . A diagnosis of acute right-sided dacryocystitis with preseptal cellulitis was made. Read More

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January 2022

Case of leprosy mimicking preseptal cellulitis: a diagnostic dilemma.

BMJ Case Rep 2022 Jan 6;15(1). Epub 2022 Jan 6.

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

A 36-year-old Asian man presented with swelling over the left frontal region involving the upper eyelids, with associated erythema and tenderness for 1 month duration. Clinically he was diagnosed as a case of preseptal cellulitis, however, the lesion did not improve on broad-spectrum systemic antibiotics. CT showed superficial soft tissue swelling in the forehead extending till the superior part of orbit. Read More

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January 2022

Management of periorbital cellulitis at the Pediatric Emergency Department: A ten years study.

J Fr Ophtalmol 2022 Feb 29;45(2):166-172. Epub 2021 Dec 29.

Department of Paediatric Emergency, Mohamed VI University Hospital, Cadi Ayyad University, Marrakech, Morocco. Electronic address:

Periorbital cellulitis is a diagnostic and therapeutic emergency, jeopardizing the prognosis for vision and survival.

Purpose: The goal of this study was to analyze the epidemiological and therapeutic features and outcomes of periorbital cellulitis cases treated in the pediatric emergency department.

Patients And Methods: A retrospective study including all the children aged between 1 month and 15 years treated for periorbital cellulitis in the Pediatric Emergency Department of the Mohamed VI University Teaching Hospital in Marrakech over a period of 10 years (January 1, 2010-December 31, 2019). Read More

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February 2022

Accuracy of the International Classification of Diseases, 9th Revision for Identifying Infantile Eye Disease.

Ophthalmic Epidemiol 2021 Nov 25:1-7. Epub 2021 Nov 25.

Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA.

Purpose: To determine the predictive value of International Classification of Diseases, 9th Revision (ICD-9) codes for identifying infantile eye diagnoses.

Methods: Population-based retrospective cohort study of all residents of Olmsted County, Minnesota diagnosed at ≤1 year of age with an ocular disorder. The medical records of all infants diagnosed with any ocular disorder from January 1, 2005, through December 31, 2014, were identified. Read More

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November 2021

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

Pediatr Infect Dis J 2022 02;41(2):97-101

Department of Pediatrics, Şişli Hamidiye Etfal Education and Research Hospital, University of Health Science, Istanbul, Turkey.

Background: We aimed 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. Read More

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February 2022

Congenital Nasolacrimal Duct Obstruction Update Study (CUP Study): Paper 4-Infantile Acute Dacryocystitis (InAD)-Presentation, Management, and Outcomes.

Ophthalmic Plast Reconstr Surg 2022 May-Jun 01;38(3):270-273. Epub 2021 Oct 13.

Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.

Purpose: To study the presentation, management, and outcomes of infantile acute dacryocystitis.

Methods: Retrospective study of infants diagnosed with acute dacryocystitis over a period from June 2016 to December 2019. Data collected include demographics, clinical history, presenting features, management, complications, and outcomes. Read More

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Pediatric Subcutaneous Panniculitis-like T-cell Lymphoma of the Orbit.

Ophthalmic Plast Reconstr Surg 2022 Mar-Apr 01;38(2):e38-e41

Department of Ophthalmology, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare and distinct subtype of peripheral T-cell lymphoma, representing <1% of all non-Hodgkin lymphomas. SPTCL usually arises in the fourth decade of life with multifocal involvement of the limbs and trunk. Orbital disease is uncommon. Read More

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Preseptal Versus Orbital Cellulitis in Children: An Observational Study.

Pediatr Infect Dis J 2021 11;40(11):969-974

Infectious Diseases Department, Hospital Universitario La Paz.

Background: Preseptal and orbital cellulitis are two types of infection surrounding the orbital septum with very different potential outcomes. Our aim was to describe key differential features of both conditions, laying special emphasis on diagnostic and therapeutic tools.

Methods: A retrospective review of patients admitted to a tertiary hospital over a 15-year period (January 2004-October 2019) was conducted. Read More

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November 2021

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.

Br J Ophthalmol 2021 Oct 4. Epub 2021 Oct 4.

Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

Background/aims: To 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).

Methods: Adult 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. Read More

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October 2021

Antimicrobial Susceptibility, Minimum Inhibitory Concentrations, and Clinical Profiles of Endophthalmitis.

Microorganisms 2021 Aug 30;9(9). Epub 2021 Aug 30.

Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan.

has been reported in various ocular infections, including keratitis, conjunctivitis, preseptal cellulitis, and endophthalmitis, all of which may lead to vision loss. However, the strain is resistant to a wide variety of antibiotics, including penicillins, third-generation cephalosporins, aminoglycosides, and imipenem. In this study, we retrospectively reviewed the clinical characteristics, antibiotic susceptibility, antimicrobial minimum inhibitory concentrations (MICs), and visual outcomes for endophthalmitis. Read More

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A rare case of microblading-induced preseptal cellulitis.

JAAD Case Rep 2021 Oct 24;16:98-100. Epub 2021 Aug 24.

Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, New York.

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October 2021

A Swedish population-based study of complications due to acute rhinosinusitis in children 5-18 years old.

Int J Pediatr Otorhinolaryngol 2021 Nov 5;150:110866. Epub 2021 Aug 5.

Department of otorhinolaryngology, Karolinska University Hospital, Eugeniavägen 3, 171 64, Stockholm, Sweden; Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Ear, Nose and Throat Diseases, Karolinska Institutet, Solnavägen 1, 171 77, Stockholm, Sweden.

Background: There are few population-based studies of complications due to acute rhinosinusitis in children. The aim was to clarify the admission and complication rate and analyze bacterial cultures in children five to 18 years old in Stockholm, Sweden.

Methods: This was a population-based observational cohort study with retrospectively collected data from individual medical records, from 1 July 2003 to 30 June 2016 in Stockholm, Sweden. Read More

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November 2021

Outcomes of lacrimal probing surgery as the first option in the treatment of congenital dacryocystocele.

Ther Adv Ophthalmol 2021 Jan-Dec;13:25158414211030427. Epub 2021 Jul 9.

Department of Ophthalmology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Purpose: To determine the demographic and clinical characteristics of newborn patients who underwent lacrimal probing surgical intervention with or without the marsupialization of intranasal cysts as the primary management for dacryocystocele treatment.

Methods: Data from the medical charts of 350 infants who underwent lacrimal probing surgery due to nasolacrimal duct obstruction were reviewed retrospectively. Ten newborn patients with a naive diagnosis of congenital dacryocystocele were included in the study. Read More

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Preseptal cellulitis, intraocular inflammatory reaction and corneal persistent epithelial defect as side effects of avapritinib.

Anticancer Drugs 2021 11;32(10):1127-1130

Ophtalmology Department.

Avapritinib is a tyrosine kinase inhibitor currently being investigated on clinical trials for the treatment of unresectable or metastatic gastrointestinal stromal tumour (GIST). It has been recently approved by the Food and Drug Administration and the European Medicines Agency for the treatment of unresectable or metastatic GIST harbouring PDGFRa Exon 18 mutation and by the European Medicines Agency for the treatments of unresectable or metastatic GIST harbouring the PDGFRa D842V mutation. We report a clinical case of a 76-year-old female, diagnosed with a stage IV GIST, treated with avapritinib 300 mg once daily. Read More

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November 2021

Recurrent palpebral herpes complicated by preseptal cellulitis in a child.

J Fr Ophtalmol 2021 Sep 7;44(7):1079-1081. Epub 2021 Jul 7.

Hassan II University of Casablanca, Department of pediatric ophtalmology, Ibn Rochd University Hospital of Casablanca, 1, rue des Hôpitaux, Casablanca, Morocco.

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September 2021

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