Recurrent unilateral periorbital cellulitis in a pediatric patient--an anatomic abnormality.
A 2-year-old male, otherwise healthy, suffered a total of 7 episodes of recurrent right-sided periorbital celluitis (POC) which began at 11 months of age. Five of the 7 episodes of right eye swelling/erythema required hospital admission for intravenous antibiotics. Imaging studies demonstrated a well-defined dehiscence in the lamina papyracea. Endoscopic sinus surgery was performed and an abnormal uncinate process was visualized, fused to the lateral nasal wall and ethmoid bulla. Post-operatively, the patient had no further infections. Nasal endoscopy and high-resolution imaging in pediatric patients with recurrent POC could identify those who would benefit from early surgical intervention.
Jatana
Kris R
KR
Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA. kris.jatana@osumc.edu
Grischkan
Jonathan M
JM
Skomorowski
Matthew J
MJ
Elmaraghy
Charles A
CA
D016866:Bacteroidaceae Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D002481:Cellulitis / Q000517:prevention & control*; D002675:Child, Preschool; D004322:Drainage; D004724:Endoscopy; D005005:Ethmoid Sinus / Q000002:abnormalities / Q000382:microbiology / Q000601:surgery; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000517:prevention & control*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009915:Orbit / Q000382:microbiology* / Q000601:surgery; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D001443:Prevotella melaninogenica / Q000302:isolation & purification; D012008:Recurrence; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014427:Twins; D034363:Viridans Streptococci / Q000302:isolation & purification