Orbital cellulitis with panophthalmitis and scleral necrosis - a case report.


Journal

BMC ophthalmology
ISSN: 1471-2415
Titre abrégé: BMC Ophthalmol
Pays: England
ID NLM: 100967802

Informations de publication

Date de publication:
13 Nov 2023
Historique:
received: 03 08 2023
accepted: 30 10 2023
medline: 15 11 2023
pubmed: 14 11 2023
entrez: 14 11 2023
Statut: epublish

Résumé

Orbital cellulitis is common in young children and is often secondary to coexisting sinus disease. Coexisting orbital cellulitis and panophthalmitis is a rare clinical event and usually occurs secondary to trauma or from an endogenous source. A febrile 2-year-old male presented with periorbital inflammation and exudative retinal detachment. Imaging showed acute sinusitis and extensive orbital cellulitis. Because of progressive scleral thinning, the patient underwent enucleation. We present a case of concurrent orbital cellulitis, panophthalmitis, and scleral necrosis in an immunocompetent pediatric patient. Timely intervention is important to prevent life threatening complications with the rare occurrence of coexistent orbital cellulitis and panophthalmitis.

Sections du résumé

BACKGROUND BACKGROUND
Orbital cellulitis is common in young children and is often secondary to coexisting sinus disease. Coexisting orbital cellulitis and panophthalmitis is a rare clinical event and usually occurs secondary to trauma or from an endogenous source.
CASE PRESENTATION METHODS
A febrile 2-year-old male presented with periorbital inflammation and exudative retinal detachment. Imaging showed acute sinusitis and extensive orbital cellulitis. Because of progressive scleral thinning, the patient underwent enucleation.
CONCLUSION CONCLUSIONS
We present a case of concurrent orbital cellulitis, panophthalmitis, and scleral necrosis in an immunocompetent pediatric patient. Timely intervention is important to prevent life threatening complications with the rare occurrence of coexistent orbital cellulitis and panophthalmitis.

Identifiants

pubmed: 37957590
doi: 10.1186/s12886-023-03193-9
pii: 10.1186/s12886-023-03193-9
pmc: PMC10641989
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

452

Informations de copyright

© 2023. The Author(s).

Références

Eye (Lond). 2001 Apr;15(Pt 2):173-7
pubmed: 11339585
Ophthalmology. 2018 Feb;125(2):318-320
pubmed: 29128228
Int Med Case Rep J. 2020 Nov 03;13:569-572
pubmed: 33173353
Surv Ophthalmol. 2018 Jul - Aug;63(4):534-553
pubmed: 29248536
Cureus. 2021 May 18;13(5):e15103
pubmed: 34159011
Indian J Ophthalmol. 2019 Jul;67(7):1234-1235
pubmed: 31238479

Auteurs

Aurora Rodriguez (A)

Phoenix Children's Hospital, 1920 E Cambridge Ave, 85,006-1464, Phoenix, AZ, United States of America.

Kamran Ahmed (K)

Phoenix Children's Hospital, 1920 E Cambridge Ave, 85,006-1464, Phoenix, AZ, United States of America.

Nishant Tiwari (N)

Phoenix Children's Hospital, 1920 E Cambridge Ave, 85,006-1464, Phoenix, AZ, United States of America.

Aparna Ramasubramanian (A)

Phoenix Children's Hospital, 1920 E Cambridge Ave, 85,006-1464, Phoenix, AZ, United States of America. aramasubramanian@phoenixchildrens.com.

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Classifications MeSH