Ray Coby N, Betteridge Bryce C, Demke Joshua C
Department of Ophthalmology, Department of Otolaryngology, and School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Ophthalmic Plast Reconstr Surg. 2018 Jan/Feb;34(1):e31-e34. doi: 10.1097/IOP.0000000000001000.
This case is, to the authors' knowledge, the first reported case in the literature of bilateral orbital abscesses as result of an infected nasal dermoid. The baby presented with what proved to be bilateral supraorbital subperiosteal abscesses with associated frontal osteitis/osteomyelitis and soft tissue infection of the glabella. Methicillin-sensitive staphylococcus aureus infection was found in the setting of a midline nasal dermoid with tuft of hair and infected sinus tract that was at least initially missed on diagnosis.
据作者所知，该病例是文献中首次报道的因感染性鼻皮样囊肿导致双侧眼眶脓肿的病例。患儿表现为双侧眶上骨膜下脓肿，伴有额骨炎/骨髓炎及眉间软组织感染。在诊断时最初至少漏诊了一例中线鼻皮样囊肿伴一束毛发及感染性窦道的病例，该病例中发现了对甲氧西林敏感的金黄色葡萄球菌感染。
