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Unilateral periorbital swelling in children: avoid delays in diagnosis
- Source :
- BMJ Case Rep
- Publication Year :
- 2023
-
Abstract
- 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. On examination, the child had a temperature of 102 °F. Ocular examination revealed proptosis, restricted ocular movements and a relative afferent pupillary defect in the left eye. Ocular examination of the right eye was normal. There was a history of recurrent episodes of cold in the past. CT scan orbit and sinuses revealed signs of orbital cellulitis with sinusitis on the left side. The child was treated with parenteral antibiotics and endoscopic sinus surgery. A child presenting with unilateral periorbital swelling needs to be thoroughly evaluated. It is important to differentiate orbital cellulitis from preseptal cellulitis. Orbital cellulitis is an emergency and delay in diagnosis can lead to vision and life-threatening intracranial complications.
- Subjects :
- 0301 basic medicine
Male
medicine.medical_specialty
Delayed Diagnosis
genetic structures
Case Report
030105 genetics & heredity
Pupil
03 medical and health sciences
0302 clinical medicine
Pupil Disorders
Afferent Pupillary Defect
medicine
Edema
Exophthalmos
Humans
Sinusitis
Child
Ophthalmoplegia
business.industry
Cellulitis
Endoscopy
General Medicine
Orbital Cellulitis
medicine.disease
eye diseases
Surgery
Anti-Bacterial Agents
Endoscopic sinus surgery
Left eye
medicine.anatomical_structure
sense organs
Orbital cellulitis
business
Tomography, X-Ray Computed
030217 neurology & neurosurgery
Orbit (anatomy)
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....04f7f67e3dd17211c7c5a9094460c6c8