906 results match your criteria Periorbital Infections


[Loss of an eye as a result of an odontogenic infection].

Ned Tijdschr Tandheelkd 2021 Jun;128(6):311-316

A 50-year-old woman presented at the outpatient clinic of the department of oral and maxillofacial surgery with a severe swelling around the left eye 1 week after removal of the second molar in the upper jaw. Despite administration of antibiotics 2 days after the removal of the molar because of periorbital swelling, the inflammation spread to the intraorbital space with eventual loss of the left eye. Timely recognition of the symptoms of (the onset of) an orbital infection after dental treatment and immediate referral to an oral and maxillofacial surgeon and/or ophthalmologist for adequate treatment can be vision-saving. Read More

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Changes in the Management of Severe Orbital Infections Over Seventeen Years.

Hosp Pediatr 2021 Jun;11(6):613-621

Pediatric Outcomes Research Team, Divisions of Pediatric Medicine and

Objectives: Periorbital and orbital cellulitis are common but serious infections in children. Management of these infections varies because of an absence of clinical guidelines, but it is unclear if management within institutions has changed over time. We compared the management and outcomes of children hospitalized with periorbital and orbital cellulitis in 2 eras. Read More

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A Periorbital Abscess with Combined Retinal Artery Occlusion and Retinal Vein Occlusion: A Case Report.

Am J Case Rep 2021 May 12;22:e930808. Epub 2021 May 12.

Head and Neck Unit, Department of Surgery, Clinical Hospital, Federal University of Goiás (HC-UFG), Goiânia, GO, Brazil.

BACKGROUND Periorbital abscesses are uncommon complications of acute bacterial rhinosinusitis; with the evolution of diagnostic and therapeutic methods, it is rare that the patient progresses to irreversible blindness. Central retinal artery occlusion (CRAO) and central retinal vein occlusion (CRVO) rarely occur simultaneously and the factors that influence this occurrence are not well understood. CASE REPORT This is a case report of an immunocompetent healthy adolescent girl, who developed irreversible blindness caused by a periorbital abscess secondary to acute bacterial rhinosinusitis due to CRAO and CRVO. Read More

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Corticosteroids for periorbital and orbital cellulitis.

Cochrane Database Syst Rev 2021 04 28;4:CD013535. Epub 2021 Apr 28.

Pediatric Outcomes Research Team, Division of Pediatric Medicine, Department of Pediatrics, The Hospital for Sick Children, Toronto, Canada.

Background: Periorbital and orbital cellulitis are infections of the tissue anterior and posterior to the orbital septum, respectively, and can be difficult to differentiate clinically. Periorbital cellulitis can also progress to become orbital cellulitis. Orbital cellulitis has a relatively high incidence in children and adults, and potentially serious consequences including vision loss, meningitis, and death. 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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Nasal-type extranodal NK/T-cell lymphoma presenting as recurrent periorbital cellulitis.

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

Otolaryngology, Tallaght University Hospital, Dublin, Dublin, Ireland.

Nasal-type extranodal natural killer/T-cell lymphoma (ENKTCL) is a rare disease with a poor prognosis. It has features similar to other granulomatous and infectious diseases of the nose and paranasal sinuses, which can make diagnosis challenging and delayed. We present a case of 38-year-old man who was admitted to the hospital on three occasions over a 3-month period for right periorbital erythema, nasal congestion and discharge. Read More

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Silicone oil-associated orbital cellulitis with lipogranulomatous inflammation in the setting of HIV: a management challenge and clinicopathological correlation.

BMJ Case Rep 2021 Mar 9;14(3). Epub 2021 Mar 9.

Department of Ophthalmology, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India

A 58-year-old Indian man presented with pain and redness of the left eye (OS) for one day. Patient had undergone silicone oil removal in OS for emulsified oil following vitrectomy and oil tamponade six months ago when he was diagnosed with retinal detachment in both eyes due to HIV retinopathy. Retinal detachment in the right eye (OD) was inoperable and had turned prephthisical at presentation, while his vision in OS was finger counting. Read More

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Association between periorbital cutaneous leishmaniasis and basosquamous carcinoma.

Rev Soc Bras Med Trop 2021;54. Epub 2021 Mar 8.

Universidade Federal de Goiás, Instituto de Patologia Tropical e Saúde Pública, Goiânia, GO, Brasil.

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Nephrotic syndrome relapse in a boy with COVID-19.

CEN Case Rep 2021 Feb 22. Epub 2021 Feb 22.

Department of Pediatrics, Faculty of Medicine, Kindai University, 377-2 Ohno-higashi, Osaka-Sayama, 589-8511, Japan.

Clinical data on coronavirus disease-19 (COVID-19) in children during the management of nephrotic syndrome (NS) is lacking. Patients on prednisolone are compromised hosts at the risk of severe infections. Some infections may induce NS relapse. Read More

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February 2021

Severe chemosis and treatment following fronto-orbital advancement surgery for Crouzon syndrome: A case report.

Medicine (Baltimore) 2021 Feb;100(7):e24693

Department of Neurosurgery, The Maternal and Child Health Hospital of Hainan Province, Haikou, Hainan, China.

Rationale: Crouzon syndrome is a craniofacial malformation caused by premature fusion of fibrous sutures in infants. It is one of the most common craniosynostosis syndromes, and surgery is the only effective treatment for correcting it. Postoperative complications such as encephalocele, infections, hematoma have been reported. Read More

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February 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

Unusual cause of acute sinusitis and orbital abscess in COVID-19 positive patient: Case report.

Int J Surg Case Rep 2021 Feb 15;79:164-168. Epub 2021 Jan 15.

University Clinical Health, Memphis, TN 38104, United States.

Background: Peptoniphilus indolicus is not usually seen in the eye or paranasal sinuses but is a commensal of the human vagina and gut. However, with COVID-19, eye infections and other unusual complications are possible with such unsuspected bacteria.

Case Presentation: The patient is a 76-year-old white male from a nursing home tested positive for COVID-19 and was sent from a nursing facility for left eye drainage and psychiatric evaluation. Read More

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February 2021

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

The first case of periorbital human dirofilariasis in the Czech Republic.

Parasitol Res 2021 Feb 8;120(2):739-742. Epub 2021 Jan 8.

Department of Pharmacology and Toxicology, Veterinary Research Institute, Hudcova 296/70, 621 00, Brno, Czech Republic.

Dirofilaria repens and Dirofilaria immitis are the most common filarial species affecting humans in Europe. Dirofilaria repens causes subcutaneous or ocular infection, whereas D. immitis is responsible mainly for the pulmonary form. Read More

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February 2021

Bilateral cavernous sinus thrombosis complicating acute unilateral pansinusitis in a 15-year-old boy.

BMJ Case Rep 2020 Dec 22;13(12). Epub 2020 Dec 22.

Otolaryngology, University Hospital Crosshouse, Kilmarnock, UK.

Cavernous sinus thrombosis (CST) is a rare and potentially fatal complication of acute sinusitis. Timely diagnosis and management is, therefore, essential in preventing death and neurological disability. Here, we describe the case of a paediatric patient with bilateral CST secondary to acute unilateral pansinusitis that presented with rapidly progressing bilateral periorbital oedema. Read More

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December 2020

Bilateral periorbital necrotising fasciitis associated with invasive group: a infection.

BMJ Case Rep 2020 Dec 21;13(12). Epub 2020 Dec 21.

Ophthalmology, Royal Melbourne Hospital, Melbourne, Victoria, Australia

A previously independent 56-year-old immunocompetent woman presented with septic shock in the setting of periorbital swelling and diffuse infiltrates on chest imaging. Blood cultures were positive for growth of group A (GAS). Broad spectrum antimicrobials were initiated with the inclusion of the antitoxin agent clindamycin. Read More

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December 2020

Recurrent bilateral asynchronous cellulitis: Report of two cases and a literature review.

Arch Soc Esp Oftalmol (Engl Ed) 2020 Dec 23. Epub 2020 Dec 23.

Departamento de Oftalmología, Hospital Universitario Río Hortega, Valladolid, España.

Bilateral recurrent periorbital cellulitis is a very rare condition, with only five cases having been reported. Two cases are presented of recurrent bilateral asynchronous eyelid oedema in two paediatric patients. It was associated with respiratory infections, with no systemic disease. Read More

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December 2020

Sphenofrontal intradiploic dermoid cyst with cutaneous dermal sinus tract.

J AAPOS 2021 02 15;25(1):56-59. Epub 2020 Dec 15.

Department of Ophthalmology and Visual Sciences, Vanderbilt Eye Institute, Nashville, Tennessee. Electronic address:

We report the case of a 5-year-old boy who presented with a draining cutaneous pit temporal to the lateral canthus, with recurrent periorbital infections. MRI and CT revealed a sinus tract leading from the pit at the skin surface to a 5 mm lesion located in the sphenoid bone near the left sphenofrontal suture. Intraoperative facial nerve monitoring and a lacrimal probe inside the sinus tract were used to guide dissection to the cyst through a minimally invasive temporal approach, without need for neurosurgical intervention. Read More

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February 2021

Mucocutaneous Manifestations of Multisystem Inflammatory Syndrome in Children During the COVID-19 Pandemic.

JAMA Dermatol 2021 02;157(2):207-212

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

Importance: To date, no study has characterized the mucocutaneous features seen in hospitalized children with multisystem inflammatory syndrome in children (MIS-C) or the temporal association of these findings with the onset of systemic symptoms.

Objective: To describe the mucocutaneous findings seen in children with MIS-C during the height of the coronavirus disease 2019 (COVID-19) pandemic in New York City in 2020.

Design, Setting, And Participants: A retrospective case series was conducted of 35 children admitted to 2 hospitals in New York City between April 1 and July 14, 2020, who met Centers for Disease Control and Prevention and/or epidemiologic criteria for MIS-C. Read More

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February 2021

Eye Protection for Patients With COVID-19 Undergoing Prolonged Prone-Position Ventilation.

JAMA Ophthalmol 2021 01;139(1):109-112

Department of Ophthalmology and Northwell Eye Institute, Northwell Health, Great Neck, New York.

Importance: Critically ill patients with coronavirus disease 2019 (COVID-19) who are unresponsive to maximum optimal ventilator settings may be in a prone position for at least 16 hours per day to improve oxygenation. This extended duration of prone positioning puts patients at risk of developing orbital compartment syndrome if direct pressure to the orbit and the globe occurs and concomitant protection of the eyes is not undertaken.

Objective: To report 2 cases of orbital compartment syndrome, as well as optic disc edema and retinal hemorrhages, in the setting of prolonged prone positioning of patients in the intensive care unit during the COVID-19 pandemic. Read More

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January 2021

Images of the month: Cavernous sinus venous thrombosis secondary to maxillary sinusitis: An unusual cause of diplopia and headache.

Clin Med (Lond) 2020 11;20(6):e271-e272

St George's University Hospitals NHS Foundation Trust, London, UK and St George's, University of London, London, UK.

Cavernous sinus venous thrombosis is an uncommon condition associated with high mortality rates if not recognised early. Symptoms include headache, visual loss, ophthalmoplegia, altered consciousness, proptosis and periorbital oedema. High-quality imaging is critical in early diagnosis and successful management. Read More

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November 2020

Orbital and periorbital dermoid cysts: Comparison of clinical features and management outcomes in children and adults.

Eur J Ophthalmol 2020 Nov 16:1120672120964686. Epub 2020 Nov 16.

Ophthalmic Pathology laboratory, L V Prasad Eye Institute, Hyderabad, Telangana, India.

Purpose: To compare differences in clinical presentation and management outcomes of orbital and periorbital dermoid cysts in children and adults.

Methods: A retrospective interventional comparative consecutive case series. 203 patients in (148 children [Age ⩽18 years] and 55 adults [Age >18 years]), who underwent excision biopsy for orbital/periorbital dermoid cyst were included. Read More

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November 2020

Delayed Ocular Motility Restriction After Endoscopic Sinus Surgery in a Patient With Chronic Rhinosinusitis and an Old Medial Orbital Wall Fracture.

J Craniofac Surg 2020 Nov/Dec;31(8):e769-e771

Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Hospital, Busan, Republic of Korea.

The orbital complications of endoscopic sinus surgery, including diplopia and ocular motility restriction, are mainly caused by direct injury to the orbital structures. These complications are rare, but can have catastrophic consequences. Symptoms occur immediately after surgery in most cases. Read More

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Paediatric periorbital cellulitis: A 10-year retrospective case series review.

J Paediatr Child Health 2021 Feb 28;57(2):227-233. Epub 2020 Sep 28.

Ear, Nose and Throat Department, Norfolk and Norwich University Hospital, Norwich, United Kingdom.

Aim: To identify the predictors of poor outcome and need for surgical management in paediatric patients with periorbital cellulitis. To assess the adherence to local guidelines in the management of periorbital cellulitis.

Methods: Retrospective descriptive analysis of clinical, laboratory and radiological characteristics of 175 paediatric periorbital cellulitis presentations at a UK teaching hospital over a 10-year period. Read More

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February 2021

Case Report: Periorbital Filariasis Caused by .

Am J Trop Med Hyg 2020 12 17;103(6):2336-2338. Epub 2020 Sep 17.

Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

is a lymphatic nematode that accounts for approximately 10% of lymphatic filariasis cases worldwide. It is endemic in several countries in South and Southeast Asia. In Thailand, . Read More

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December 2020

Natural Killer (NK)//T-Cell Lymphoma, Nasal Type, with Periorbital Involvement: A Case Report and Literature Review.

Am J Case Rep 2020 Sep 21;21:e926599. Epub 2020 Sep 21.

Department of Otorhinolaryngology and Laryngological Oncology in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland.

BACKGROUND Extranodal natural killer (NK)/T-cell lymphomas are rare neoplasms that result in the destruction of mid-facial tissues. Infrequently seen in ear, nose, and throat clinical practice, they are often misdiagnosed and treated as chronic sinusitis, which delays proper diagnosis. This study aimed to describe the insidious course of NK/T-cell lymphomas, nasal type. Read More

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September 2020

Cerebrospinal fluid leak from lateral orbit during exenteration for mucormycosis.

BMJ Case Rep 2020 Sep 13;13(9). Epub 2020 Sep 13.

Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

We describe an elderly diabetic patient presenting with sudden onset right-sided proptosis and vision loss secondary to rhino-orbital mucormycosis and central retinal vascular occlusion. He underwent orbital exenteration that was complicated by intraoperative cerebrospinal fluid (CSF) leak from lateral orbital wall. The leak was surgically repaired and the patient recovered well. Read More

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September 2020

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

The role of adjuvant systemic steroids in the management of periorbital cellulitis secondary to sinusitis: a systematic review and meta-analysis.

Eur Arch Otorhinolaryngol 2021 Jul 24;278(7):2193-2201. Epub 2020 Aug 24.

Department of Otolaryngology, Maidstone and Tunbridge Wells NHS Trust, Royal Tunbridge Wells, UK.

Purpose: The role of adjuvant systemic corticosteroids in the management of periorbital cellulitis and subperiosteal/orbital abscesses secondary to sinonasal infections is not well understood. Our objective was to systematically review the current evidence on the efficacy and side effects of systemic steroids when used in the management of periorbital cellulitis.

Methodology: A systematic review of literature was conducted in accordance with PRISMA guidance. Read More

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Bilateral cellulitis caused by invasive aspergillosis associated with bilateral intraorbital abscesses: a case report.

BMC Ophthalmol 2020 Aug 15;20(1):330. Epub 2020 Aug 15.

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Orbital invasive aspergillosis infection is rare life-threatening infection, most commonly seen in immunocompromised patients and extremely rare in individuals without risk factors. Here we present a rare case of bilateral cellulitis caused by invasive aspergillosis associated with bilateral intraorbital abscesses in a female patient.

Case Presentation: A 49-year-old woman presented with a 3-month history of painful proptosis and periorbital swelling of bilateral eyes. Read More

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