Necrotising orbital cellulitis

Purpose To report 2 cases of severe necrotising orbital cellulitis which illustrate the need for aggressive surgical management to prevent blindness. Methods The case records of 2 patients with necrotising orbital cellulitis were reviewed. Results Both patients had orbital cellulitis associated with...

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Veröffentlicht in:Eye (London) 2001-04, Vol.15 (2), p.173-177
Hauptverfasser: Ng, S G J, Nazir, R, Sabhudi, C P K, Laitt, R D, Maloof, A, Leatherbarrow, B
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container_end_page 177
container_issue 2
container_start_page 173
container_title Eye (London)
container_volume 15
creator Ng, S G J
Nazir, R
Sabhudi, C P K
Laitt, R D
Maloof, A
Leatherbarrow, B
description Purpose To report 2 cases of severe necrotising orbital cellulitis which illustrate the need for aggressive surgical management to prevent blindness. Methods The case records of 2 patients with necrotising orbital cellulitis were reviewed. Results Both patients had orbital cellulitis associated with sinusitis. Each case was characterised by the rapid development of severe systemic toxicity, extensive soft tissue necrosis and abscess formation. One patient developed panophthalmitis and the eye had to be eviscerated. The other patient underwent repeated surgical drainage of multiple orbital abscesses. This led to resolution of the infection and preservation of vision. Conclusions Atypical rapidly progressive necrotising orbital cellulitis may occasionally be encountered. In such cases, aggressive surgical drainage of orbital abscesses is crucial to prevent blindness and death.
doi_str_mv 10.1038/eye.2001.55
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Methods The case records of 2 patients with necrotising orbital cellulitis were reviewed. Results Both patients had orbital cellulitis associated with sinusitis. Each case was characterised by the rapid development of severe systemic toxicity, extensive soft tissue necrosis and abscess formation. One patient developed panophthalmitis and the eye had to be eviscerated. The other patient underwent repeated surgical drainage of multiple orbital abscesses. This led to resolution of the infection and preservation of vision. Conclusions Atypical rapidly progressive necrotising orbital cellulitis may occasionally be encountered. 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Methods The case records of 2 patients with necrotising orbital cellulitis were reviewed. Results Both patients had orbital cellulitis associated with sinusitis. Each case was characterised by the rapid development of severe systemic toxicity, extensive soft tissue necrosis and abscess formation. One patient developed panophthalmitis and the eye had to be eviscerated. The other patient underwent repeated surgical drainage of multiple orbital abscesses. This led to resolution of the infection and preservation of vision. Conclusions Atypical rapidly progressive necrotising orbital cellulitis may occasionally be encountered. 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Methods The case records of 2 patients with necrotising orbital cellulitis were reviewed. Results Both patients had orbital cellulitis associated with sinusitis. Each case was characterised by the rapid development of severe systemic toxicity, extensive soft tissue necrosis and abscess formation. One patient developed panophthalmitis and the eye had to be eviscerated. The other patient underwent repeated surgical drainage of multiple orbital abscesses. This led to resolution of the infection and preservation of vision. Conclusions Atypical rapidly progressive necrotising orbital cellulitis may occasionally be encountered. In such cases, aggressive surgical drainage of orbital abscesses is crucial to prevent blindness and death.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>11339585</pmid><doi>10.1038/eye.2001.55</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Abscess - diagnostic imaging
Abscess - microbiology
Abscess - therapy
Adolescent
Adult
Bacterial diseases
Bacterial diseases of the eye and orbit
Biological and medical sciences
Cellulitis - diagnostic imaging
Cellulitis - microbiology
Cellulitis - therapy
clinical-study
Human bacterial diseases
Humans
Infectious diseases
Laboratory Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Necrosis
Ophthalmology
Orbital Diseases - diagnostic imaging
Orbital Diseases - microbiology
Orbital Diseases - therapy
Pharmaceutical Sciences/Technology
Streptococcal Infections - diagnostic imaging
Streptococcal Infections - microbiology
Streptococcal Infections - therapy
Surgery
Surgical Oncology
Tomography, X-Ray Computed
title Necrotising orbital cellulitis
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