AlQahtani Dhabiah S, Alsaif Mohammed A, AlSulaiman Naif, Alsuhaibani Adel H
King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Saudi J Ophthalmol. 2021 Nov 17;35(3):261-262. doi: 10.4103/SJOPT.SJOPT_24_21. eCollection 2021 Jul-Sep.
Orbital cellulitis in children rarely occurs secondary to smoking water pipe. A 3-year-old girl who presented with fever, eyelid swelling, pain, and proptosis of the left eye for 4 days after water pipe consumption. The patient was given the usual course of antibiotics for a few days along with subperiosteal abscess drainage however no improvement was noticed for a week. Cultures were positive for methicillin-resistant and pseudomonas aeruginosa. Intravenous dexamethasone was co-administered in three courses for 3 weeks, during which residual symptoms was slowly resolving. In conclusion, attempt of dexamethasone in children can shorten hospital stay and augment full recovery.
儿童眼眶蜂窝织炎很少继发于吸食水烟。一名3岁女孩在吸食水烟4天后出现发热、眼睑肿胀、疼痛和左眼突出。患者接受了几天常规疗程的抗生素治疗，并进行了骨膜下脓肿引流，但一周内未见改善。培养结果显示耐甲氧西林金黄色葡萄球菌和铜绿假单胞菌呈阳性。静脉注射地塞米松分三个疗程共3周，在此期间残留症状逐渐缓解。总之，在儿童中使用地塞米松有助于缩短住院时间并促进完全康复。
