title: Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report.
abstract: BACKGROUND
  Intraorbital abscess is a very severe infection with ophthalmologic and neurologic complications that are sometimes life-threatening.
  
  
  OBJECTIVE
  To report the etiologic, clinical, radiologic, and prognostic features of one case of bilateral intraorbital abscesses with intracranial complications.
  
  
  METHODS
  A 15-year-old Cameroonian girl in a comatose state (11/15 on the Glasgow Coma Scale) with meningeal signs, right hemiplegia, right facial palsy, and bilateral exophthalmia was admitted for meningitis and cerebral abscess secondary to orbital cellulitis. A lumbar tap was carried out, no organisms were seen by Gram stain, and culture was negative due to previous antibiotic therapy. A computed tomography scan showed a left internal capsule infarct and a pansinus opacification. Bilateral superior orbitotomies were performed and the abscess evacuated. Microscopy and culture of surgical material were negative. The patient was discharged 4 weeks after hospital admission with a visual acuity of 0.1 in both eyes, aphasia, and right hemiplegia. Nine months later, there was complete visual recovery (visual acuity 1.0 in both eyes). Anterior and posterior segments were normal on slit-lamp examination. There was no aphasia, but right-sided hemiparesis persisted.
  
  
  CONCLUSIONS
  The authors emphasize the need for prevention, early diagnosis, and adequate treatment of orbital cellulitis in order to avoid complications.
authors.affiliation: Ophthalmology Unit, Yaoundé Gynaeco-obstetric and Paediatric Hospital (YGOPH).
authors.forename: Oumarou
authors.initials: O
authors.lastname: Abdouramani
authors.forename: S
authors.initials: S
authors.lastname: Nguefack
authors.forename: Va
authors.initials: V
authors.lastname: Dohvoma
authors.forename: B
authors.initials: B
authors.lastname: Moifo
authors.forename: André Omgbwa
authors.initials: AO
authors.lastname: Eballé
authors.forename: A
authors.initials: A
authors.lastname: Moho
authors.forename: E
authors.initials: E
authors.lastname: Epee
authors.forename: E
authors.initials: E
authors.lastname: Mbonda
authors.forename: Al
authors.initials: A
authors.lastname: Bella