Juan C M, Chiu C H, Huang Y C, Lin T Y
Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1995 Jul-Aug;36(4):286-8.
Orbital cellulitis, defined as eyelid erythema and edema, proptosis and/or ophthalmoplegia, with or without visual acuity loss, is a rare, but severe infectious disease. The medical records were reviewed of 16 children, aged 18 years or under, who were admitted at Chang Gung Memorial Hospital with a diagnosis of orbital cellulitis during the period from January 1977 to June 1993. The 16 children included 13 males and 3 females. The mean age of the patients was 5.6 years. Sinusitis, diagnosed clinically and radiologically in eight cases, was the most common predisposing factor. From pus or blood in five patients, these pathogens were isolated: Staphylococcus aureus (2), viridans streptococci (1) and mixed bacterial flora (2). All of the patients were treated with systemic antibiotics. The mean duration of fever after initiation of antibiotic therapy was 2.9 days. Four patients subsequently developed complications: subperiosteal abscess (2), orbital abscess (1), and bacteremia (1). Five patients received surgical treatment. No mortality was reported. After a follow-up period of 1-2 months, no sequelae were found among any of these 16 patients.
眶蜂窝织炎定义为伴有或不伴有视力丧失的眼睑红斑、水肿、眼球突出和/或眼球运动障碍，是一种罕见但严重的感染性疾病。回顾了1977年1月至1993年6月期间在长庚纪念医院收治的16名18岁及以下诊断为眶蜂窝织炎的儿童的病历。这16名儿童包括13名男性和3名女性。患者的平均年龄为5.6岁。临床上和放射学上诊断出鼻窦炎的有8例，是最常见的诱发因素。从5名患者的脓液或血液中分离出这些病原体：金黄色葡萄球菌（2例）、草绿色链球菌（1例）和混合菌群（2例）。所有患者均接受全身抗生素治疗。抗生素治疗开始后发热的平均持续时间为2.9天。4名患者随后出现并发症：骨膜下脓肿（2例）、眶内脓肿（1例）和菌血症（1例）。5名患者接受了手术治疗。无死亡报告。经过1至2个月的随访，这16名患者中无一例出现后遗症。
