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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2001.55</identifier><identifier>PMID: 11339585</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>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</subject><ispartof>Eye (London), 2001-04, Vol.15 (2), p.173-177</ispartof><rights>Royal College of Ophthalmologists 2001</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-fba522ac762f779d8e1062efc88f3f78222c793d4d9a72b5de83dc65cd4ddcb63</citedby><cites>FETCH-LOGICAL-c411t-fba522ac762f779d8e1062efc88f3f78222c793d4d9a72b5de83dc65cd4ddcb63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=953248$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11339585$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ng, S G J</creatorcontrib><creatorcontrib>Nazir, R</creatorcontrib><creatorcontrib>Sabhudi, C P K</creatorcontrib><creatorcontrib>Laitt, R D</creatorcontrib><creatorcontrib>Maloof, A</creatorcontrib><creatorcontrib>Leatherbarrow, B</creatorcontrib><title>Necrotising orbital cellulitis</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><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.</description><subject>Abscess - diagnostic imaging</subject><subject>Abscess - microbiology</subject><subject>Abscess - therapy</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the eye and orbit</subject><subject>Biological and medical sciences</subject><subject>Cellulitis - diagnostic imaging</subject><subject>Cellulitis - microbiology</subject><subject>Cellulitis - therapy</subject><subject>clinical-study</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Laboratory Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Necrosis</subject><subject>Ophthalmology</subject><subject>Orbital Diseases - diagnostic imaging</subject><subject>Orbital Diseases - microbiology</subject><subject>Orbital Diseases - therapy</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Streptococcal Infections - diagnostic imaging</subject><subject>Streptococcal Infections - microbiology</subject><subject>Streptococcal Infections - therapy</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Tomography, X-Ray Computed</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1z0tLw0AQB_BFFFurJ--14FFT95ndHEvxBUUvCt6WzT5KSpqW3eTQb--ElHryNDDzY2b-CN0SPCeYqSd_8HOKMZkLcYbGhMs8E1zwczTGhcAZpfRnhK5S2oDhUuJLNCKEsUIoMUbTD2_jrq1S1axnu1hWraln1td1V1fQvUYXwdTJ3xzrBH2_PH8t37LV5-v7crHKLCekzUJpBKXGypwGKQunPME59cEqFViQCn6wsmCOu8JIWgrnFXM2FxY6zpY5m6CHYS88k1L0Qe9jtTXxoAnWfUoNKXWfUgsBejrofVduvfuzx1gA7o_AJGvqEE1jq3RyhWCUK1CPg0owaNY-6s2uiw3k_Ofq3cAb03bRn7aB6QmIX-Zxcxg</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>Ng, S G J</creator><creator>Nazir, R</creator><creator>Sabhudi, C P K</creator><creator>Laitt, R D</creator><creator>Maloof, A</creator><creator>Leatherbarrow, B</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20010401</creationdate><title>Necrotising orbital cellulitis</title><author>Ng, S G J ; Nazir, R ; Sabhudi, C P K ; Laitt, R D ; Maloof, A ; Leatherbarrow, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-fba522ac762f779d8e1062efc88f3f78222c793d4d9a72b5de83dc65cd4ddcb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Abscess - diagnostic imaging</topic><topic>Abscess - microbiology</topic><topic>Abscess - therapy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the eye and orbit</topic><topic>Biological and medical sciences</topic><topic>Cellulitis - diagnostic imaging</topic><topic>Cellulitis - microbiology</topic><topic>Cellulitis - therapy</topic><topic>clinical-study</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Laboratory Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Necrosis</topic><topic>Ophthalmology</topic><topic>Orbital Diseases - diagnostic imaging</topic><topic>Orbital Diseases - microbiology</topic><topic>Orbital Diseases - therapy</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Streptococcal Infections - diagnostic imaging</topic><topic>Streptococcal Infections - microbiology</topic><topic>Streptococcal Infections - therapy</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ng, S G J</creatorcontrib><creatorcontrib>Nazir, R</creatorcontrib><creatorcontrib>Sabhudi, C P K</creatorcontrib><creatorcontrib>Laitt, R D</creatorcontrib><creatorcontrib>Maloof, A</creatorcontrib><creatorcontrib>Leatherbarrow, B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ng, S G J</au><au>Nazir, R</au><au>Sabhudi, C P K</au><au>Laitt, R D</au><au>Maloof, A</au><au>Leatherbarrow, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Necrotising orbital cellulitis</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2001-04-01</date><risdate>2001</risdate><volume>15</volume><issue>2</issue><spage>173</spage><epage>177</epage><pages>173-177</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>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.</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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