title: Complicated periorbital cellulitis: case report and literature review.
abstract: OBJECTIVE
  Periorbital cellulitis secondary to rhinosinusitis is common. However, very rarely this can be complicated by a lacrimal gland abscess. We report such a case.
  
  
  METHODS
  We present a case report and literature review concerning lacrimal gland abscess secondary to periorbital cellulitis.
  
  
  RESULTS
  Due to the location of this condition, prompt assessment and management is vital to avoid potential ophthalmological and neurological complications. Our patient failed to respond to initial conservative medical treatment, and was subsequently identified as having a lacrimal gland abscess, confirmed on contrast-enhanced computed tomography. Following definitive surgical treatment, the patient's clinical course improved. This case furthers our knowledge of this condition, and adds to the two previously reported paediatric cases.
  
  
  CONCLUSIONS
  This case emphasises the importance of prompt management, and the fact that failure of clinical improvement following orbital decompression should alert the clinician to the rare possibility of an associated lacrimal gland abscess. The case also emphasises the key role of imaging and a multidisciplinary team approach when managing this condition.
authors: Department of Otolaryngology-Head and Neck Surgery, Northwick Park Hospital, North West London NHS Trust, Harrow, UK. nassim.parvizi@gmail.com
authors: N
authors: N
authors: Parvizi
authors: N
authors: N
authors: Choudhury
authors: A
authors: A
authors: Singh
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000293:Adolescent; D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002444:Cefuroxime / Q000627:therapeutic use; D003287:Contrast Media; D019299:Decompression, Surgical; D004322:Drainage; D005334:Fever / Q000209:etiology; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D054517:Orbital Cellulitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010348:Patient Care Team; D012720:Severity of Illness Index; D012852:Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity
chemical_list: D000890:Anti-Infective Agents; D003287:Contrast Media; D008795:Metronidazole; D002444:Cefuroxime