Delayed presentation of orbito-cerebral abscess caused by pencil-tip injury.
This report describes the clinical and radiologic findings of a child who was stabbed with a pencil tip in his right upper eyelid, in what initially appeared to be an innocuous injury. The child presented again 3 weeks later with a combined orbital and frontal lobe brain abscess. The mechanism of injury is discussed, the orbital and neuro-surgical interventions are detailed, and the medical treatment is presented. Ophthalmologists should have a high index of suspicion for orbital foreign bodies and possible intracranial injury in cases of penetrating eyelid trauma.
Seider
Nir
N
The Alberto Moscona Department of Ophthalmology, Rambam Medical Center, Haifa, Israel. zayder@netvision.net.il
Gilboa
Michael
M
Lautman
Elvira
E
Miller
Benjamin
B
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D002443:Ceftriaxone / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D005143:Eyelids / Q000293:injuries; D005625:Frontal Lobe / Q000293:injuries; D006108:Graphite / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007262:Infusions, Intravenous; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage; D009915:Orbit / Q000293:injuries; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery
D000900:Anti-Bacterial Agents; D008795:Metronidazole; D002443:Ceftriaxone; D006108:Graphite