[Ethmoidal fracture. Differential diagnosis of orbital cellulites in pediatrics. Clinical case].
We report a case of orbital emphysema secondary to ethmoidal fracture after minimal trauma as differential diagnosis of orbital cellulitis not reported before in children. An 8 year-old girl with diagnosis of orbital cellulitis was remitted for admittance, IV antibiotics and evaluation by an ophthalmologist. However, further evaluation led to a diagnosis of ethmoidal lamina papyracea fracture. Patient showed complete resolution in 4 days with outpatient treatment. Once again, this case corroborates that meticulous history taking and physical examination are irreplaceable for decision making.
jselandari@intramed.net
Anahí
A
Slavsky
Jimena
J
Fraga
Guillermina
G
González Frea
María P
MP
Ronchetti
Jorge
J
Miauro
Anabella
A
Castagna
Fabio
F
Sturla
Jorge
J
Selandari
D002648:Child; D003937:Diagnosis, Differential; D005004:Ethmoid Bone / Q000293:injuries*; D005141:Eyelid Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D054517:Orbital Cellulitis / Q000175:diagnosis*; D012887:Skull Fractures / Q000150:complications* / Q000175:diagnosis*; D013352:Subcutaneous Emphysema / Q000209:etiology*