Inpatient preseptal cellulitis: experience from a tertiary eye care centre

Chaudhry, Imtiaz A.; Shamsi, Farrukh A.; Elzaridi, Elsanusi; Al-Rashed, Waleed; Alamri, Abdulrahman; Arat, Yonca Özkan

doi:10.1136/bjo.2007.128975

Cited by 55 publications

(27 citation statements)

References 35 publications

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“…Although they are most commonly observed in children and young adults, these infections may occur in every age group [30,31]. Orbital infections are typically unilateral, involving the tissues posterior to the orbital septum, which may spread and cause involvement of the cavernous sinus [32].…”

Section: Orbital Infectionsmentioning

confidence: 99%

“…Orbital cellulitis is differentiated from preseptal or periorbital cellulitis by important clinical signs, including ophthalmoplegia, proptosis, decreased vision, and systemic symptoms (fever, reduced appetite, lethargy) [30,31]. The most common predisposing factor for orbital cellulitis is maxillary and/or ethmoid sinus disease [31,32].…”

Section: Orbital Infectionsmentioning

confidence: 99%

“…Blood cultures, cultures of any purulent discharge, or exploration of involved sinuses with drainage and culture must be performed [32]. Contrast-enhanced CT scanning (sagittal, coronal, and axial slices of orbit and sinuses) is excellent for the evaluation of possible abscess [30,31]. Under a collaborative effort with an infectious disease expert, broad spectrum antimicrobials should be initiated that have activity against the likely suspects, most commonly including Streptococci spp, Staphylococcus aureus including methicillin-resistant, and Haemophilus infl uenzae (in nonimmunized patients) [30][31][32].…”

Section: Orbital Infectionsmentioning

confidence: 99%

“…Contrast-enhanced CT scanning (sagittal, coronal, and axial slices of orbit and sinuses) is excellent for the evaluation of possible abscess [30,31]. Under a collaborative effort with an infectious disease expert, broad spectrum antimicrobials should be initiated that have activity against the likely suspects, most commonly including Streptococci spp, Staphylococcus aureus including methicillin-resistant, and Haemophilus infl uenzae (in nonimmunized patients) [30][31][32]. Usually, failure to improve after initial treatment, negative cultures, absence of associated factors (sinusitis, skin lesions, trauma), and normal complete blood count warrant pursuit of other diagnoses.…”

Section: Orbital Infectionsmentioning

confidence: 99%

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Orbital myositis: Diagnosis and management

Costa

Dumitrascu²,

Gordon

2009

Curr Allergy Asthma Rep

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Orbital myositis is an inflammatory process that primarily involves the extraocular muscles and most commonly affects young adults in the third decade of life, with a female predilection. Clinical characteristics of orbital myositis include orbital and periorbital pain, ocular movement impairment, diplopia, proptosis, swollen eyelids, and conjunctival hyperemia. The most common presentation is acute and unilateral, which initially responds to systemic corticosteroid therapy. However, chronic and recurrent cases may involve both orbits. Many inflammatory, vascular, neoplastic, and infectious conditions that affect the extraocular muscles and other orbital tissue can mimic orbital myositis. The most important differential diagnoses include thyroid-related eye disease, other orbital inflammatory processes (unspecific idiopathic inflammation, vasculitis, and sarcoidosis), orbital cellulitis, and orbital tumors. In refractory, chronic, or recurrent cases, steroid-sparing agents, inmmunosuppressants, or radiation therapy may be indicated.

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Section: Orbital Infectionsmentioning

confidence: 99%

Section: Orbital Infectionsmentioning

confidence: 99%

Section: Orbital Infectionsmentioning

confidence: 99%

Section: Orbital Infectionsmentioning

confidence: 99%

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Orbital myositis: Diagnosis and management

Costa

Dumitrascu²,

Gordon

2009

Curr Allergy Asthma Rep

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“…While S. aureus cellulitis most commonly involves the lower extremities, it may also involve other regions, including the upper extremities, abdominal wall, and face. It vies for primacy with streptococci as a cause of preseptal and orbital cellulitis (321)(322)(323).…”

Section: For Photos Of Classical S Aureus Sstis)mentioning

confidence: 99%

Staphylococcus aureus Infections: Epidemiology, Pathophysiology, Clinical Manifestations, and Management

et al. 2015

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SUMMARY Staphylococcus aureus is a major human pathogen that causes a wide range of clinical infections. It is a leading cause of bacteremia and infective endocarditis as well as osteoarticular, skin and soft tissue, pleuropulmonary, and device-related infections. This review comprehensively covers the epidemiology, pathophysiology, clinical manifestations, and management of each of these clinical entities. The past 2 decades have witnessed two clear shifts in the epidemiology of S. aureus infections: first, a growing number of health care-associated infections, particularly seen in infective endocarditis and prosthetic device infections, and second, an epidemic of community-associated skin and soft tissue infections driven by strains with certain virulence factors and resistance to β-lactam antibiotics. In reviewing the literature to support management strategies for these clinical manifestations, we also highlight the paucity of high-quality evidence for many key clinical questions.

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