Periorbital cellulits--a mistaken diagnosis!
A 12-year-old girl presented with a 1 week history of orbital swelling associated with granuloma, purulent discharge from the eye and preauricular and submandibular lymphadenopathy. Initial conventional treatment for presumed preseptal cellulitis was unsuccessful. Despite treatment with broad spectrum antibiotics, the preseptal cellulitis progressed to orbital cellulitis with restriction of eye movements in addition to the marked conjunctival chemosis and haemorrhage. A detailed history revealed she had been in close contact with newborn kittens at home and biopsy of the granuloma demonstrated Bartonella species, confirming the diagnosis of cat scratch disease. The child received a course of appropriate oral and topical antibiotics and steroids. Unfortunately eyesight in the right eye remains poor on follow-up.
Department of Paediatrics, Maidstone Hospital, Dagenham, UK.
Julia
J
Fozard
Nikila
N
Pandya
Ashok
A
Pulikot
David
D
Fish
Raman
R
Malhotra
Damian
D
Lake
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy; D002415:Cats; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D054517:Orbital Cellulitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents