[Postoperative intraorbital haematoma with septicemia due to Methylbacterium mesophilicum: a rare cause. Case report].
BACKGROUND
Compressive-orbital haematoma is a rare, but dreaded, complication in facial traumatology.


METHODS
The authors report a case of postoperative blindness after a delayed procedure for an orbit-floor fracture, complicated by Methylbacterium mesophilicum septicemia. Three surgical procedures were performed, simple drainage, down fracture of the orbit floor, and osteotomy of the zygoma, without any improvement.


CONCLUSIONS
The role of M. mesophilicum in a major coagulation deficiency is discussed. Decompressive-orbital procedures are reviewed and discussed for this special case.
Service de stomatologie, chirurgie maxillofaciale, plastique et reconstructrice, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France. Philippe.Barriere@chru-strasbourg.fr
P
P
Barriere
Y
Y
Hansmann
A
A
Wilk
D000328:Adult; D001766:Blindness / Q000209:etiology*; D019299:Decompression, Surgical; D016905:Gram-Negative Bacterial Infections / Q000150:complications*; D006406:Hematoma / Q000150:complications / Q000209:etiology*; D006801:Humans; D008297:Male; D020580:Methylobacterium; D009917:Orbital Fractures / Q000150:complications* / Q000601:surgery*; D019315:Retrobulbar Hemorrhage / Q000150:complications / Q000209:etiology
Hématome intraorbitaire postchirurgical favorisé par une septicémie à Methylbacterium mesophilicum : une cause rare. A propos d'un cas.