Department of Internal Medicine, Korea University Anam Hospital, Korea University School of Medicine, Seoul, Korea.
Korean J Intern Med. 2010 Mar;25(1):114-7. doi: 10.3904/kjim.2010.25.1.114. Epub 2010 Feb 26.
A 39-year-old woman visited the emergency room complaining of right eye pain and swelling over the preceding three days. The ophthalmologist's examination revealed orbital cellulitis and diabetic retinopathy in the right eye, although the patient had no prior diagnosis of diabetes. It was therefore suspected that she had diabetes and orbital cellulitis, and she was started on multiple antibiotic therapies initially. She then underwent computed tomography scans of the orbit and neck and magnetic resonance imaging of the brain. These studies showed an aggravated orbital cellulitis with abscess formation, associated with venous thrombophlebitis, thrombosis of the internal carotid artery, and mucosal thickening of maxillary sinus with multiple paranasal abscesses. Three days later, initial blood culture grew Klebsiella pneumoniae. She recovered after incision and drainage and antibiotic therapy for 37 days.
一位 39 岁女性因右眼疼痛和肿胀三天前来急诊就诊。眼科医生检查发现右眼眶蜂窝织炎和糖尿病性视网膜病变，尽管患者以前没有糖尿病的诊断。因此怀疑她患有糖尿病和眶蜂窝织炎，最初开始使用多种抗生素治疗。然后她进行了眼眶和颈部的计算机断层扫描和大脑的磁共振成像。这些研究显示，眶蜂窝织炎加重并形成脓肿，伴有静脉血栓性静脉炎、颈内动脉血栓形成和上颌窦粘膜增厚伴多个鼻窦脓肿。三天后，最初的血培养发现肺炎克雷伯菌。她在切开引流和 37 天的抗生素治疗后康复。
