Nasal foreign body as the cause of a subperiosteal orbital abscess in a child.
We present what to the best of our knowledge is the first reported case of an orbital abscess as a result of acute rhinosinusitis caused by obstruction of the middle meatus secondary to the impaction of a nasal foreign body in a child. The patient, a 5-year-old Hispanic boy, had presented with left periorbital edema, eye pain, rhinorrhea, headache, and a fever. The presence of a nasal foreign body had been suggested by a finding of a low-density signal in the left anterior nasal cavity and middle meatus on computed tomography. Endoscopic drainage of the abscess through the involved sinuses revealed that the foreign body was a wad of cotton. The cotton was removed, and the patient recovered uneventfully.
Alamo ENT Associates, San Antonio, TX, USA.
Benjamin D
BD
Webb
Kevin D
KD
Pereira
Samer
S
Fakhri
D002675:Child, Preschool; D016124:Eikenella corrodens / Q000302:isolation & purification; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D016905:Gram-Negative Bacterial Infections / Q000150:complications; D006192:Haemophilus Infections / Q000150:complications; D006193:Haemophilus influenzae / Q000302:isolation & purification; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D010521:Periosteum; D013396:Suction; D014057:Tomography, X-Ray Computed