Periorbital Cellulitis

Malinow, Iona; Powell, Keith P

doi:10.3928/0090-4481-19930401-08

Cited by 10 publications

(7 citation statements)

References 16 publications

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“… 1 , 5 The most common bacterial pathogens of periorbital cellulitis associated with trauma are Staphylococcus aureus and Streptococcus pyogenes , while Hemophilus influenzae is often isolated in cases without a history of trauma. 1 , 6 Although the cause in our case was unknown, it was possible that the patient received laceration while she was heavily drunk. Surgical debridement and parenteral administration of antimicrobial agents in the early period are essential for the treatment of necrotizing cellulitis.…”

Section: Discussionmentioning

confidence: 99%

“…Periorbital cellulitis frequently occurs in children in a setting of trauma, insect stings, sinusitis, bacteremia, and upper respiratory tract infection. 1 , 2 In addition, a few cases of adults with systemic disease, such as alcoholism and diabetes mellitus, have also been reported. 3 , 4 Because of the anatomic peculiarity of the eyelid, such as the lack of subdermal adipose tissue and the tenuous attachment of the skin to the underlying structures, many of the causes described above often result in progressive inflammatory edema and erythema.…”

Section: Discussionmentioning

confidence: 99%

“…3 , 4 Because of the anatomic peculiarity of the eyelid, such as the lack of subdermal adipose tissue and the tenuous attachment of the skin to the underlying structures, many of the causes described above often result in progressive inflammatory edema and erythema. 1 , 5 The most common bacterial pathogens of periorbital cellulitis associated with trauma are Staphylococcus aureus and Streptococcus pyogenes , while Hemophilus influenzae is often isolated in cases without a history of trauma. 1 , 6 Although the cause in our case was unknown, it was possible that the patient received laceration while she was heavily drunk.…”

Section: Discussionmentioning

confidence: 99%

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Correspondence

Goihman-Yahr¹

1998

Int J Dermatology

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Periorbital necrotizing cellulitis A 49‐year‐old Japanese woman with uncontrolled diabetes and alcohol abuse noticed a slight red discoloration above the right upper eyelid on the day after she had got very drunk. In spite of the treatment with antibiotics given by local physicians, her right upper and lower eyelids gradually became edematous so that she could not open her right eye. She was referred to us 7 days after the onset of the disease. Physical examination revealed marked erythema and swelling on the right eyelid with yellow, partially black necrotic tissues ( Fig. 1). A thick purulent discharge was drained from the right lateral canthus. The eyeground examination was unremarkable, and ocular movements were intact. Computed tomographic scans of the orbits showed neither orbital nor sinus involvement. The peripheral white blood cell count was 11,550/mm3. A culture of pus yielded β‐hemolytic, group A, Streptococcus pyogenes. The periorbital edema resolved after surgical debridement and systemic administration of imipenem/cilastatin and cefazolin for 3 weeks; however, facial nerve palsy of the right temporal branches still remains after 2 months ( Fig. 2). 1 Marked edema and erythema on the right eyelid 2 Facial nerve palsy after healing of the wound. Note lack of furrows on right half of forehead

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Correspondence

Goihman-Yahr¹

1998

Int J Dermatology

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“…P eriorbital cellulitis (POC) presents as unilateral or bilateral periorbital inflammation and is seen most commonly in the pediatric age group. [1][2][3] Common causes include paranasal sinusitis, upper respiratory tract infections, local cutaneous trauma, conjunctivitis, dacrocystitis and other causes. 1,3,4 POC may also herald more grave underlying conditions, such as collagen-vascular disorders, systemic diseases, intraorbital or paranasal neoplasms.…”

mentioning

confidence: 99%

“…[1][2][3] Common causes include paranasal sinusitis, upper respiratory tract infections, local cutaneous trauma, conjunctivitis, dacrocystitis and other causes. 1,3,4 POC may also herald more grave underlying conditions, such as collagen-vascular disorders, systemic diseases, intraorbital or paranasal neoplasms. 1,4 Most children with POC are evaluated and treated by pediatricians with complete resolution achieved through routine management on an outpatient basis.…”

mentioning

confidence: 99%