Takahashi Yasuhiro, Kakutani Satoshi, Vaidya Aric, Kakizaki Hirohiko
Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital, Aichi, JPN.
Plastic Surgery, Uji Takeda Hospital, Kyoto, JPN.
Cureus. 2021 Feb 16;13(2):e13376. doi: 10.7759/cureus.13376.
A 35-year-old man was hit against his left eye by his child's foot. Two days following trauma, the patient noticed diplopia in the upward and right gazes. On the first examination seven days after trauma, computed tomographic (CT) images revealed a small mass in the inferolateral orbit near the inferior orbital fissure. There was no radiological evidence of orbital fracture, paranasal sinusitis, or foreign body. Immediately after the first examination, the patient had a history of fever, retrobulbar pain, and nausea. These symptoms gradually worsened, and the patient visited the emergency department of our hospital at 13 days following trauma. CT images showed enlargement in the size of the mass. The diagnosis of the orbital abscess was made, and emergent drainage of the abscess was performed, followed by administration of intravenous antibiotics. On the fifth postoperative day, cultures of the abscess specimen showed growth of (4+), (4+), and (4+). The patient's condition improved significantly and at the 1.5-month follow-up, the patient did not have any symptoms related to the orbital abscess.
一名35岁男性被孩子的脚踢中左眼。外伤后两天，患者发现向上和向右注视时出现复视。外伤后七天首次检查时，计算机断层扫描（CT）图像显示眶下裂附近眶下外侧有一个小肿块。没有眼眶骨折、鼻窦炎或异物的影像学证据。首次检查后不久，患者出现发热、眼球后疼痛和恶心的病史。这些症状逐渐加重，患者在受伤后13天到我院急诊科就诊。CT图像显示肿块大小增大。诊断为眼眶脓肿，并紧急进行脓肿引流，随后静脉注射抗生素。术后第五天，脓肿标本培养显示（4+）、（4+）和（4+）生长。患者病情明显改善，在1.5个月的随访中，患者没有任何与眼眶脓肿相关的症状。
