Rao Lavanya G, Rao Krishna, Bhandary Sulatha, Shetty Priyanka Ranjan
Department of Ophthalmology, Kasturba Medical College, Udupi, Karnataka, India.
BMJ Case Rep. 2015 Apr 21;2015:bcr2014209183. doi: 10.1136/bcr-2014-209183.
This article advocates the need for early incision and drainage of periorbital abscesses. We report a case of a 1.5-month-old neonate with orbital cellulitis and periorbital abscess, which had rapidly developed over a period of 3 days. Treatment history revealed methicillin-resistant Staphylococcus aureus sepsis treated with intravenous vancomycin, and incision and drainage of abscesses at multiple sites (left parotid region, upper and lower limbs). A small swelling noted on the left temporal region on discharge from the hospital was treated with oral cotrimoxazole. However, it spread rapidly to involve the periorbital tissue and the bones of the orbital walls to form a periorbital abscess and orbital cellulitis.
本文主张对眶周脓肿进行早期切开引流。我们报告一例1.5个月大的新生儿，患有眼眶蜂窝织炎和眶周脓肿，在3天内迅速发展。治疗史显示，该患儿曾因耐甲氧西林金黄色葡萄球菌败血症接受静脉注射万古霉素治疗，并在多个部位（左腮腺区、上肢和下肢）进行了脓肿切开引流。出院时发现左侧颞区有一个小肿块，给予口服复方磺胺甲恶唑治疗。然而，它迅速蔓延至眶周组织和眶壁骨骼，形成眶周脓肿和眼眶蜂窝织炎。
