title: Septic pulmonary embolism associated with orbital abscess and sinusitis.
abstract: A 13-year-old white boy was admitted to an outside institution for antibiotic treatment of right preseptal cellulitis. He subsequently developed a right orbital abscess, which could not be located on surgical exploration. On postoperative day 2, he developed acute chest pain and was transferred to Children's Hospital of Michigan for evaluation and treatment. CT of the thorax demonstrated multiple, bilateral lower lobe lesions consistent with septic pulmonary embolism. The right orbit was re-explored with successful drainage of an intraconal orbital abscess. He was treated with intravenous antibiotics with subsequent improvement of the orbital cellulitis and chest pain. He was discharged home on intravenous antibiotics. At 1 month, follow-up chest CT demonstrated near resolution of the lung lesions.
authors.affiliation: Kresge Eye Institute, Department of Ophthalmology, Wayne State University, Detroit, MI 48201, USA.
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Verb
authors.forename: Evan H
authors.initials: EH
authors.lastname: Black
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D012852:Sinusitis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D002981:Clindamycin; D002443:Ceftriaxone