Nath J, Jin D K, Rahman R, Ballas S K, Batuman O A
State University of New York, Health Science Center at Brooklyn 11203-2098, USA.
Ophthalmic Surg Lasers. 1998 Oct;29(10):860-3.
The authors describe a patient with sickle cell anemia who had an orbital abscess at the site of a bone infarct during hospitalization for a painful crisis. Because the patient was in close medical observation, the orbital abscess was diagnosed within 48 hours of the onset of symptoms. The patient was treated with a 2-week course of intravenous antibiotics. This resulted in complete resolution of the abscess, as evidenced by clinical improvement and findings on computerized axial tomography scanning. The authors conclude that a heightened suspicion of orbital abscess in sickle cell patients with ocular symptoms will allow the diagnosis of an orbital abscess that can then be cured with antibiotic treatment but without orbital surgery.
作者描述了一名镰状细胞贫血患者，该患者在因疼痛危象住院期间，骨梗死部位出现眼眶脓肿。由于患者处于密切医学观察中，眼眶脓肿在症状出现后48小时内被诊断出来。患者接受了为期2周的静脉抗生素治疗。这导致脓肿完全消退，临床改善及计算机断层扫描结果证明了这一点。作者得出结论，对有眼部症状的镰状细胞患者高度怀疑眼眶脓肿，将有助于诊断眼眶脓肿，然后可通过抗生素治疗治愈，而无需进行眼眶手术。
