title: An orbital fistula complicating anaerobic frontal sinusitis and osteomyelitis.
abstract: A patient is described with an orbital fistula complicating frontal sinusitis and osteomyelitis of the frontal bone. The fistula was excised, but a fortnight later an acute exacerbation occurred. From the discharging pus a Staphylococcus aureus was cultured and from mucosa obtained during surgery a microaerophilic Streptococcus. These findings led to the diagnosis: synergistic bacterial inflammation of the frontal sinus, with osteomyelitis and orbital cellulitis.
mesh_terms: D000328:Adult; D005402:Fistula / Q000150:complications / Q000601:surgery*; D050723:Fractures, Bone / Q000150:complications; D005626:Frontal Sinus / Q000601:surgery*; D006801:Humans; D008297:Male; D009666:Nose / Q000293:injuries; D009916:Orbital Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010019:Osteomyelitis / Q000150:complications*; D011859:Radiography; D012852:Sinusitis / Q000150:complications / Q000382:microbiology; D012871:Skin Diseases / Q000601:surgery*; D013203:Staphylococcal Infections / Q000150:complications; D013290:Streptococcal Infections / Q000150:complications