title: Herpes zoster ophthalmicus presenting as orbital abscess along with superior orbital fissure syndrome: A case report.
abstract: Orbital abscess and superior orbital fissure syndrome (SOFS) are rare manifestations of herpes zoster ophthalmicus. Herein, we report a case of orbital abscess along with SOFS in a 2.5-year-old-male child secondary to herpes zoster infection. He presented with a 5-day history of proptosis and ptosis of the right eye that had been preceded by vesicular eruptions on the right forehead and scalp. Computed tomography scan of the head and orbit showed orbital abscess and right cavernous sinus thrombosis. A diagnosis of orbital abscess with SOFS secondary to herpes infection was made. The condition subsequently improved following antiviral therapy, intravenous vancomycin and amikacin, and oral corticosteroids.
authors.affiliation: Department of Ophthalmology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
authors.forename: Poonam
authors.initials: P
authors.lastname: Lavaju
authors.forename: Badri Prasad
authors.initials: BP
authors.lastname: Badhu
authors.forename: Sangeeta
authors.initials: S
authors.lastname: Shah
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000998:Antiviral Agents / Q000627:therapeutic use; D002675:Child, Preschool; D006563:Herpes Zoster Ophthalmicus / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D009915:Orbit / Q000000981:diagnostic imaging*; D009916:Orbital Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed
chemical_list: D000998:Antiviral Agents