Otte Benjamin P, Harris Justin P, Schulte Alexandra J, Davies Brett W, Brundridge Wesley L
Ophthalmology, San Antonio Uniformed Services Health Education Consortium, San Antonio, USA.
Cureus. 2023 Jul 5;15(7):e41415. doi: 10.7759/cureus.41415. eCollection 2023 Jul.
A 19-year-old male presented to the emergency department with progressive right eye proptosis and was subsequently diagnosed with bacterial orbital cellulitis and acute on chronic allergic fungal sinusitis. He experienced brief symptomatic improvement after endoscopic sinus surgery, initiation of antibiotics, and steroid treatment; however, he re-presented five days after discharge with significantly worsened symptoms and no light perception in the right eye. Cultures resulted in Aspergillus and , a rare, aggressive etiology of bacterial orbital cellulitis. He developed an intraconal abscess requiring multiple orbitotomies for decompression and abscess drainage. To our knowledge, only eight prior cases of orbital cellulitis have been reported in the literature (excluding the present case) and our patient is the first case of this organism causing an intraconal abscess. The authors discuss the importance of early recognition and close follow-up of orbital infections.
一名19岁男性因右眼进行性突出就诊于急诊科，随后被诊断为细菌性眼眶蜂窝织炎和慢性变应性真菌性鼻窦炎急性发作。在内镜鼻窦手术、开始使用抗生素和类固醇治疗后，他的症状短暂改善；然而，出院五天后他再次就诊，症状明显恶化，右眼无光感。培养结果显示为曲霉菌和[此处原文缺失部分内容]，这是一种细菌性眼眶蜂窝织炎罕见且侵袭性的病因。他形成了眶内脓肿，需要多次眼眶切开术进行减压和脓肿引流。据我们所知，文献中仅报道过八例先前的[此处原文缺失部分内容]眼眶蜂窝织炎病例（不包括本病例），而我们的患者是首例由这种病原体导致眶内脓肿的病例。作者讨论了早期识别和密切随访[此处原文缺失部分内容]眼眶感染的重要性。
