True abscess formation is rare in bacterial orbital cellulitis; consequences for treatment

Veer, Eline G. van der; Poel, Nicolien van der; Win, Maartje M. L. de; Kloos, Roel; Saeed, Peerooz; Mourits, Maarten P.

doi:10.1016/j.amjoto.2016.11.006

Cited by 22 publications

(15 citation statements)

References 12 publications

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“…The first literature case reports of orbital abscess originated in 1884 [5,6] Orbital abscess formation occur in 8% of patients with retroseptal orbital cellulitis [7].…”

Section: Discussionmentioning

confidence: 99%

“…[3,8]- [39] Etiology Bacterial etiology is the most common and regards pathogenes such as Streptococcus spp. [7,11,14,16,28,31,33,35,39,40], Staphylococcus aureus [9,36,40] (also methycylin resistant Staphylococcus aureus [20,21,34,40]) and Pseudomonas aeruginosa [24,30,41]. Additionally, wide spectrum of bacteria are rarely encountered: Haemophilus spp.…”

Section: Symptomsmentioning

confidence: 99%

See 1 more Smart Citation

Orbital Abscess—Two Case Reports with Review

Zawadzki

Komisarek

Pawłowski

et al. 2021

Indian J Otolaryngol Head Neck Surg

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Periorbital infections lead to severe condition of the orbital abscess, and eventually to sight loss, and even death. Current study aims in reviewing the literature regarding orbital abscess in adult patients and presenting 2 original cases. A surgical intervention to drain the abscess and a revision of the orbital was required. A review of literature is also reported focusing on aetiology and treatment options dealing with an orbital abscess.

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“…The first literature case reports of orbital abscess originated in 1884 [5,6] Orbital abscess formation occur in 8% of patients with retroseptal orbital cellulitis [7].…”

Section: Discussionmentioning

confidence: 99%

Section: Symptomsmentioning

confidence: 99%

Orbital Abscess—Two Case Reports with Review

Zawadzki

Komisarek

Pawłowski

et al. 2021

Indian J Otolaryngol Head Neck Surg

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“…[4]. However, other authors consider CST an intracranial complication of sinusitis instead of the end stage of an orbital complication [5–7]. CST is most frequently seen in patients with an infection of the sphenoid sinus, whereas orbital infections are more frequently caused by ethmoiditis [7–9].…”

Section: Discussionmentioning

confidence: 99%

Prognosis of septic cavernous sinus thrombosis remarkably improved: a case series of 12 patients and literature review

Poel

Mourits

Win

et al. 2018

Eur Arch Otorhinolaryngol

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PurposeSeptic cavernous sinus thrombosis (CST) is a rare complication of infections in the head and neck area. CST is notorious for its bad prognosis, with high mortality and morbidity rates described in literature. However, these rates are based on old series. We question whether the prognosis of CST is currently still as devastating. The primary purpose of this study is to assess the mortality and morbidity of CST.MethodsUsing the databases of all relevant specialties in our tertiary referral hospital, we collected all the patients treated for CST in the period 2005–2017. In addition, a PubMed search, using the mesh term ‘cavernous sinus thrombosis’, was performed.ResultsWe found 12 patients with CST in the study period. Of the 12 patients, 11 survived and 9 recovered without any permanent deficits. Seven patients were treated with anticoagulation, and in none of the patients we saw hemorrhagic complications. In literature, older articles describe higher mortality rates (14–80%), but more recent articles report mortality and morbidity rates similar to our results.ConclusionsThe prognosis of CST nowadays is more favorable than previously described. Anticoagulation seems to be a safe addition to antibiotic and surgical treatment, at least in patients without central nervous system infection.

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“…Dear Editor, Isoardi et al's original research into ketamine as a rescue treatment for severe acute behavioural disturbance 1 serves to reinforce what many of us working in the pre-hospital and emergency medicine environment know. That is, ketamine is simply not a benign drug, nor should it be employed as a panacea for all ills.…”

Section: An Important Reminder Regarding Ketamine's Safety Profilementioning

confidence: 95%

“…to the orbital septum, and can be caused by bacteria, viruses, fungi or protozoa. 1 The Chandler's staging system is a diagnostic tool used to categorise orbital cellulitis into five stages, 2,3 although the clinical usefulness is debatable.…”

mentioning

confidence: 99%