title: Epidural empyema secondary to orbital cellulitis: a case report.
abstract: OBJECTIVE
  To report a case of epidural empyema, a rare complication of orbital cellulitis, underlining the importance of early diagnosis and appropriate therapy to avoid severe complications often associated with this disease.
  
  
  METHODS
  The treatment was initiated with extended spectrum antibiotics such as third generation cephalosporins along with aminoglycoside or metronidazole for anaerobes.
  
  
  RESULTS
  The patient responded well and was asymptomatic after 15 days. Radiologic investigations (computed tomography/magnetic resonance imaging) should be done on an emergency basis. Treatment should be aggressive with parenteral use of extended spectrum antibiotics. The role of steroid is when proptosis is causing lagophthalmos with exposure keratitis and/or optic nerve compression. Judicious surgical intervention can be life saving in this emergency. Peribulbar antibiotic injection has no role in the therapy.
  
  
  CONCLUSIONS
  The authors present a unique case of epidural empyema secondary to orbital cellulitis associated with an episode of epileptic seizure.
authors.affiliation: A-3 Mother Teresa Nagar, S.M.S Hospital, Jaipur, India. drmonisha@yahoo.com
authors.forename: M K
authors.initials: MK
authors.lastname: Brijlal Meena
authors.forename: P
authors.initials: P
authors.lastname: Sharma
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D004646:Emphysema / Q000175:diagnosis / Q000209:etiology*; D004824:Epidural Space; D015818:Eye Infections, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D054517:Orbital Cellulitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents