Hosny Rawan, Younan Abanoub, Ahmed Rania A
Kasr Al Ainy Hospital, Cairo University, Cairo, 11956, Egypt.
BMC Ophthalmol. 2025 Jun 26;25(1):342. doi: 10.1186/s12886-025-04207-4.
Preseptal cellulitis is characterized by local inflammation anterior to the orbital septum. This case is being reported to highlight a rare cause of a chronic form of preseptal inflammation: Frontal osteomyelitis. The patient initially presented with a chronic left upper lid swelling preceded by minor blunt trauma of four-month duration. Condition did not respond to medical treatment. Drainage of swelling was done and pus was sent for culture and sensitivity, results of which were negative. It rapidly recollected following drainage. Patient had no nasal complaints or constitutional manifestations. Computed tomography and magnetic resonance imaging diagnosed extent of sinus involvement and frontal osteomyelitis. Clindamycin therapy was given for four weeks following which the patient markedly improved.
眶隔前蜂窝织炎的特征是眶隔前方的局部炎症。本文报告此病例以突出一种慢性眶隔前炎症的罕见病因：额骨骨髓炎。患者最初表现为慢性左上睑肿胀，之前有持续四个月的轻微钝器伤。病情对药物治疗无反应。对肿胀部位进行了引流，并将脓液送去做培养和药敏试验，结果为阴性。引流后肿胀迅速复发。患者无鼻部症状或全身表现。计算机断层扫描和磁共振成像诊断出鼻窦受累范围及额骨骨髓炎。给予克林霉素治疗四周后，患者明显好转。
