Cellulites orbitaires et péri-orbitaires de l’enfant. Profil épidémiologique, clinique, thérapeutique et évolutif

Daoudi, A.; Ajdakar, S.; Rada, Noureddine; Draïss, Ghizlane; Hajji, I.; Bouskraoui, M.

doi:10.1016/j.jfo.2016.05.008

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…In our series, it was 49% of cases [5]. The incidence of ocular cellulitis in children is decreasing since the introduction of the Haemophilus influenzae vaccine, which is the most frequently identified pathogen [6]. The mean consultation delay in our series was 13 days.…”

Section: Discussionmentioning

confidence: 50%

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Diagnosis and Management of Orbital Cellulitis in a Reference Center in Senegal

JMM

2024

JOAR

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The severity of orbital cellulitis is the risk of blindness and cerebro-meningeal complications that can be life-threatening. The objective of our study was to report the clinical, paraclinical, therapeutic and progressive aspects of orbital cellulitis. This was a retrospective, descriptive study over 5-year, from 1st January 2017 to December 31st 2021, in the ophthalmology department of Aristide le Dantec University Hospital. We glued 102 patients. The incidence was 32.8 cases per year. The average age was 23 years, the age group from 0 to 15 years was the most representative (49%). The most frequent reason for consultation was eyelid swelling (87%). There was a predominance of preseptal cellulitis (64%). An ORL etiology was found in 21.5% of cases. Orbital-cerebral CT was performed in 57 patients. It made this possible to classify cellulite and identify sinusitis in 21.6% of cases. All patients received antibiotics and corticosteroid therapy were combined 48 hours after the start of treatment in 41 patients. The evolution was favorable in 73.5% of cases. Ten patients (9.8%) presented a complication. We aim for 3 cases of blindness. Death occurred in a patient who presented a bilateral orbital cellulitis complicated by cavernous sinus thrombophlebitis. The prognosis depends on the delay in treatment, the stage of the disease and the existence of comorbidity factors.

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Section: Discussionmentioning

confidence: 50%

“…We found a sinus origin in 39% of cases with a predominance of ethmoidal sinusitis. The therapeutic management of orbital cellulitis is based on parenteral or oral antibiotic therapy, sometimes supplemented with systemic corticosteroids [6]. Surgical treatment is reserved for complications.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Orbital Cellulitis in a Reference Center in Senegal

JMM

2024

JOAR

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“…However infection after eye surgery under aseptic precautions and without systemic symptoms such as fever, is rare. Daudi et al 8 noted that in nearly 50% of cases fever was not present but local signs of inflammation existed and patients responded to both local and systemic antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess

AlHarkan

AlOdan

2019

Saudi Journal of Ophthalmology

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We present a rare case of infected pyogenic conjunctival granuloma mimicking a conjunctival abscess as complication of strabismus surgery in a Saudi girl with exotropia. Despite administration of local antibiotics following strabismus surgery, a patient presented with localised redness and discharge after three weeks. The patient was afebrile with no signs of pre-septal or orbital cellulitis. After culture (Staphylococcus aureus) sensitivity testing the patient was prescribed oral Amoxicillin and Clavulanate and reviewed under general anaesthesia. A 55 mm2 conjunctival pyogenic granuloma was noted. A punch biopsy specimen indicated inflammatory and histiocytic cells. The addition of steroid to the medical therapy resulted in a quiet eye after three weeks.

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“…El examen clínico y el diagnóstico por imagen son útiles para determinar el tratamiento adecuado [Ahmar et al,2018] y evitar la formación de abscesos post septales, trombosis del seno cavernoso [Okonkwo et añ.,2018] que pueden causar complicaciones como: sepsis, pérdida de visión, infección endocraneal, daño meníngeo, empiema y tromboflebitis cerebral [Gonçalves et al,2016] [Daoudi et al, 2016. El tratamiento de la celulitis periorbitaria implica un enfoque multidisciplinario: pediatras, otorrinolaringólogos, oftalmólogos, bacteriólogos y radiólogos [Crosbie & Kubba 2016].…”

Section: Introductionunclassified

Actualización diagnostica y tratamiento de Celulitis Periorbitaria en el paciente pediátrico

Noriega

Freire

2023

Ciencia Latina

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Introducción: La infección bacteriana de los tejidos blandos que rodean el ojo se denomina celulitis periorbitaria. Entre los niños, es una infección frecuente y potencialmente grave que puede dar lugar a complicaciones como abscesos y meningitis. El propósito de este estudio es llevar a cabo una revisión exhaustiva de la literatura científica disponible. sobre la celulitis periorbitaria en pacientes pediátricos, con la finalidad de caracterizar sus manifestaciones clínicas, las etiologías predominantes, los métodos de diagnóstico, las estrategias terapéuticas, y las potenciales complicaciones asociadas. La metodología adoptada implicó realizar una exploración bibliográfica en bases de datos especializadas en medicina como Scielo, Pubmed, Scopus y Google Scholar, utilizando términos de búsqueda tales como "celulitis periorbitaria", "children", "diagnosis" y "treatment". Se incluyeron únicamente estudios reportados en los últimos diez años, tanto en inglés como en español. Resultados: Los niños menores de 10 años son más propensos a desarrollar celulitis periorbitaria, debida a la propagación de infecciones del tracto respiratorio superior. Los síntomas incluyen dolor, enrojecimiento e hinchazón alrededor del ojo afectado, fiebre y malestar general. El diagnóstico se realiza principalmente mediante examen clínico y pruebas de laboratorio e imagenología. El tratamiento incluye antibióticos, en algunos casos, drenaje quirúrgico de abscesos. Las complicaciones incluyen pérdida de visión, abscesos intracraneales y meningitis. Conclusiones: La celulitis periorbitaria es una afección potencialmente grave en pacientes pediátricos, que requiere un diagnóstico y tratamiento tempranos para evitar complicaciones.

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Cellulites orbitaires et péri-orbitaires de l’enfant. Profil épidémiologique, clinique, thérapeutique et évolutif

Cited by 9 publications

References 11 publications

Diagnosis and Management of Orbital Cellulitis in a Reference Center in Senegal

Diagnosis and Management of Orbital Cellulitis in a Reference Center in Senegal

Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess

Actualización diagnostica y tratamiento de Celulitis Periorbitaria en el paciente pediátrico

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