Bristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Orbit. 2022 Aug;41(4):517-521. doi: 10.1080/01676830.2021.1895846. Epub 2021 Mar 8.
We report a case of a 17-year-old female who presented with orbital cellulitis and meningeal involvement secondary to severe paranasal sinusitis with positive blood culture for . The patient recovered after a 2-month course of systemic antibiotics and functional endoscopic sinus surgery.-induced orbital cellulitis is a rare entity, with only 5 previous cases reported in the literature, which are reviewed here as well. This review reveals that is an aggressive pathogen in orbital cellulitis and therefore we suggest that affected patients may require a correspondingly aggressive medical management. Furthermore, we advise additional workup to rule out Lemierre's syndrome, a severe complication of infection, including transthoracic echocardiogram, chest radiograph, upper extremities' venous duplex and magnetic resonance venography.
我们报告了一例 17 岁女性病例，其因严重鼻窦感染导致眼眶蜂窝织炎和脑膜受累，并伴有血液培养阳性的 。该患者在接受了 2 个月的全身抗生素治疗和功能性内窥镜鼻窦手术后康复。- 引起的眼眶蜂窝织炎是一种罕见的疾病，文献中仅报道了 5 例，我们也对这些病例进行了回顾。这一回顾表明，在眼眶蜂窝织炎中，是一种侵袭性病原体，因此我们建议受影响的患者可能需要相应的强化医疗管理。此外，我们建议进行额外的检查以排除利氏综合征，这是 感染的一种严重并发症，包括经胸超声心动图、胸部 X 线、上肢静脉双功超声和磁共振静脉造影。
