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一个肿胀的难题:一例眶周蜂窝织炎与血管性水肿并发的病例报告

A Swollen Dilemma: A Case Report of Concurrent Periorbital Cellulitis and Angioedema.

作者信息

Lee Vincent, De La Cruz Seoane Manuel, Angly Sohair, Odalys Frontela, Abdelmoneim Sahar S

机构信息

Internal Medicine, Southwest Healthcare, Palmdale, USA.

Internal Medicine, Larkin Community Hospital Palm Springs Campus, Hialeah, USA.

出版信息

Cureus. 2025 Aug 2;17(8):e89249. doi: 10.7759/cureus.89249. eCollection 2025 Aug.

Abstract

Periorbital cellulitis and angioedema can present with similar clinical features, posing a diagnostic challenge. We describe a case of a 71-year-old female patient with a past history of hypertension and diabetes who developed facial swelling and erythema following trauma. She was initially treated for periorbital cellulitis but was later found to have concurrent angioedema, likely triggered by antibiotics and herbal supplements. This report emphasizes the importance of thorough clinical evaluation, timely imaging, and consideration of alternative diagnoses to guide appropriate management.

摘要

眶周蜂窝织炎和血管性水肿可表现出相似的临床特征,这带来了诊断挑战。我们描述了一例71岁女性患者,她有高血压和糖尿病病史,外伤后出现面部肿胀和红斑。她最初被诊断为眶周蜂窝织炎进行治疗,但后来发现同时患有血管性水肿,可能是由抗生素和草药补充剂引发的。本报告强调了全面临床评估、及时影像学检查以及考虑其他诊断以指导恰当治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/12401069/65c521944f43/cureus-0017-00000089249-i01.jpg

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