Qualickuz Zanan N H, Zahedi F D, Husain S
MBBs (MU) Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia email:
MD (UKM), Ms ORL-HNs (UKM) Department of Otorhinolaryngology-Head and Neck surgery, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia email:
Malays Fam Physician. 2017 Dec 31;12(3):37-39. eCollection 2017.
Varicella has been known to be a harmless childhood disease. However, it has been reported that severe complications have taken place following Varicella infection, in both immunocompetent, as well as immunocompromised, individuals. Cutaneous complications of Varicella may manifest as preseptal cellulitis, albeit rarely.
We present a case of a 4-year-old boy who presented with symptoms and signs of preseptal cellulitis following Varicella infection. He was referred to the otorhinolaryngology team for a nasoendoscopy to rule out sinusitis, in view of the fear that a child presenting with a swollen red eye may be a case of true orbital cellulitis. He was treated successfully with intravenous antibiotics and surgical drainage of the preseptal collection.
It is imperative for clinicians to be aware that a simple Varicella infection may lead to cutaneous complications in the pediatric age group, especially in children who are 4 years and younger. They may develop preseptal cellulitis, whose presentation might mimic that of orbital cellulitis. Empirical treatment with antibiotics would be advantageous for the patient. A nasoendoscopic examination may also be warranted in these cases to rule out sinusitis as a cause of orbital cellulitis.
水痘一直被认为是一种无害的儿童疾病。然而，据报道，无论是免疫功能正常还是免疫功能低下的个体，在感染水痘后都出现了严重并发症。水痘的皮肤并发症可能表现为眶隔前蜂窝织炎，尽管这种情况很少见。
我们报告一例4岁男孩，在感染水痘后出现眶隔前蜂窝织炎的症状和体征。鉴于担心出现眼红肿胀的儿童可能是真正的眼眶蜂窝织炎，他被转诊至耳鼻喉科团队进行鼻内镜检查以排除鼻窦炎。他通过静脉注射抗生素和眶隔前积液的手术引流得到了成功治疗。
临床医生必须意识到，单纯的水痘感染可能会在儿童年龄组中导致皮肤并发症，特别是在4岁及以下的儿童中。他们可能会发展为眶隔前蜂窝织炎，其表现可能类似于眼眶蜂窝织炎。经验性使用抗生素对患者有益。在这些病例中，也可能需要进行鼻内镜检查以排除鼻窦炎作为眼眶蜂窝织炎的病因。
