Orbital cellulitis and osteomyelitis secondary to odontogenic infection with campylobacter rectus: a case report

Goswami, Pragya; Ie, Amanda; O’Donnell, Brett A

doi:10.1080/01676830.2021.1990349

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2021

DOI: 10.1080/01676830.2021.1990349

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Orbital cellulitis and osteomyelitis secondary to odontogenic infection with campylobacter rectus: a case report

Pragya Goswami

Amanda Ie

Brett A O’Donnell

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2024

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Cited by 1 publication

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Clinical and radiological characteristics of odontogenic orbital cellulitis

Tumuluri,

Tong,

Tumuluri

et al. 2024

J Ophthal Inflamm Infect

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Purpose To assess the radiological features and clinical outcomes of odontogenic orbital cellulitis. Method Multi-centre retrospective study of odontogenic orbital cellulitis. Primary outcomes assessed were causal organism(s), clinical signs, radiological findings, management and visual outcomes. Results Four patients with odontogenic orbital cellulitis were identified for inclusion. There was an equal proportion of men and women with a mean age of 43 years (range 25–56 years). All patients presented with an orbital compartment syndrome, with visual acuity of counting fingers (n = 1, 25%), hand movements (n = 1, 25%) and no perception of light (n = 2, 50%). The organisms implicated were Streptococcus milleri (n = 3, 75%) and Streptococcus constellatus (n = 1, 25%). MRI findings showed a subperiosteal abscess was present in all cases, which was characterised radiologically as a T1-hyperintense, T2 minimally hyperintense collection with restricted diffusion and a low apparent diffusion coefficient signal. Final visual acuity ranged from 6/6 to no light perception. One patient required an orbital exenteration due to extensive necrosis with sepsis and systemic deterioration. Conclusions Odontogenic orbital cellulitis carries a serious risk of vision loss with a propensity to present with an orbital compartment syndrome secondary to Streptococcus species. Outcomes were highly variable, with two cases progressing to blindness of which one required an orbital exenteration.

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Clinical and radiological characteristics of odontogenic orbital cellulitis

Tumuluri,

Tong,

Tumuluri

et al. 2024

J Ophthal Inflamm Infect

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Orbital cellulitis and osteomyelitis secondary to odontogenic infection with campylobacter rectus: a case report

Cited by 1 publication

References 12 publications

Clinical and radiological characteristics of odontogenic orbital cellulitis

Clinical and radiological characteristics of odontogenic orbital cellulitis

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