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Periorbital cellulitis in childrens

Kenneth J Taubenslag, James G Chelnis, Louise A Mawn
PURPOSE: To investigate practice patterns for cases of subperiosteal abscess (SPA) with concomitant frontal sinusitis to identify factors favorable to medical management in children <9 years of age. METHODS: The medical records of all pediatric cases of orbital and periorbital cellulitis admitted at a tertiary care center from 1999-2014 were reviewed retrospectively. Cases were included if radiography demonstrated sinusitis-associated SPA in children <9 years of age...
December 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
A Daoudi, S Ajdakar, N Rada, G Draiss, I Hajji, M Bouskraoui
Orbital cellulitis in children is a rare but potentially serious condition. The goal of this study is to analyze the epidemiological, clinical, therapeutic aspects and typical course of orbital and periorbital cellulitis in children, so as to propose a clinical management protocol adapted to our context. During the retrospective study period (2008-2014), 28 cases were hospitalized in the pediatric department at the Mohammed VI university medical center in Marrakech. Eighty-five percent of the cases were diagnosed as preseptal cellulitis, and 15% as retroseptal cellulitis...
September 2016: Journal Français D'ophtalmologie
Juliette O Flam, Michael P Platt, Rachel Sobel, Anand K Devaiah, Christopher D Brook
BACKGROUND: Acute and chronic sinusitis in children and adults can spread to the orbit. Oral flora has been seen in orbital infections, but the extent of synergy between pathogens in such infections remains unknown. METHODS: A retrospective case series of patients with complicated sinusitis that involved the orbit from acute sinusitis who were admitted to a tertiary care hospital from January 2000 to December 2014 and who had surgical cultures obtained. Patients were identified by the International Classification of Diseases, Ninth Revision code for periorbital cellulitis, subperiosteal abscess, or orbital abscess...
July 2016: American Journal of Rhinology & Allergy
Eugene Leibovitz, Nuphar David, Haya Ribitzky-Eisner, Mouner Abo Madegam, Said Abuabed, Gabriel Chodick, Michal Maimon, Yariv Fruchtman
We described the occult bacteremia (OB) and bacteremia with diagnosed focus (BwF) picture among children managed as outpatients at the pediatric emergency room (PER) in southern Israel, before and after the introduction of pneumococcal conjugate vaccines (PCVs) introduction in a retrospective study enrolling all three- to 36-month-old patients with fever >38.0 °C during 2005-2014. Of 511 (0.82% of all febrile patients) true bacteremias, 230 (45%) were managed as outpatients; 96 of 230 (41.7%) had OB and 134 (3...
July 19, 2016: International Journal of Environmental Research and Public Health
Robin A Crosbie, Jonathan Nairn, Haytham Kubba
INTRODUCTION: Paediatric periorbital cellulitis is a common condition. Accurate assessment can be challenging and appropriate use of CT imaging is essential. We audited admissions to our unit over a four year period, with reference to CT scanning and adherence to our protocol. METHODS: Retrospective audit of paediatric patients admitted with periorbital cellulitis, 2012-2015. RESULTS: Total of 243 patients included, mean age 4.7 years with slight male predominance, the median length of admission was 2 days...
August 2016: International Journal of Pediatric Otorhinolaryngology
Nili Segal, Roni Nissani, Sofia Kordeluk, Meni Holcberg, Shay Hertz, Firas Kassem, Anwar Mansour, Avichai Segal, Ofer Gluck, Yehudah Roth, Tal Honigman, Moshe Ephros, Ranan Cohen Kerem
OBJECTIVE: Orbital involvement is the most common complication of sinus infections. The epidemiology of the disease is continuously changing in the antibiotic era. MATERIALS AND METHODS: Data on patients who were hospitalized due to acute sinusitis and orbital complications were retrospectively collected and analyzed from four medical centers in Israel during the years 2002-2012. RESULTS: 288 patients were included in the study, the average age was 14...
July 2016: International Journal of Pediatric Otorhinolaryngology
Rita Gonçalves, Carlos Menezes, Rute Machado, Isabel Ribeiro, José A Lemos
Periorbital cellulitis is a relatively common ocular disease in the pediatric population. Early diagnosis of this disease with a prompt intervention is critical to avoid vision and life-threatening complications. In the last years, medical therapy has been expanding for the treatment of orbital cellulitis, instead of the standard surgical approach. The purpose of this study was to describe the outcome of treatment with intravenous antibiotic of periorbital cellulitis in children. A retrospective review of all children admitted with periorbital cellulitis in our hospital between January 2002 and July 2013 was conducted...
August 2016: Orbit
Fatima Rashed, Anna Cannon, Paul Anthony Heaton, Siba Prosad Paul
Children with red swollen eyes frequently present to emergency departments. Some patients will have orbital cellulitis, a condition that requires immediate diagnosis and treatment. Orbital cellulitis can be confused with the less severe, but more frequently encountered, periorbital cellulitis, which requires less aggressive management. Delayed recognition of the signs and symptoms of orbital cellulitis can lead to serious complications such as blindness, meningitis and cerebral abscess. This article describes the clinical features, epidemiology and outcomes of the condition, and discusses management and treatment...
April 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Laila F Ibrahim, Sandy M Hopper, Franz E Babl, Penelope A Bryant
BACKGROUND: The benefits of treating children at home or in an ambulatory setting have been well documented. We aimed to describe the characteristics and evaluate the outcomes of children with moderate/severe cellulitis treated at home with intravenous (IV) ceftriaxone via direct referral from the Emergency Department to a hospital-in-the-home (HITH) program. METHODS: Patients aged 3 months to 18 years with moderate/severe cellulitis referred from a tertiary pediatric Emergency Department to HITH from September 2012 to January 2014 were prospectively identified...
March 2016: Pediatric Infectious Disease Journal
Abhishek Sharma, Eugene S Liu, Tran D Le, Feisal A Adatia, J Raymond Buncic, Susan Blaser, Susan Richardson
PURPOSE: To evaluate the microbiology of pediatric orbital cellulitis in blood cultures and abscess drainage cultures following the introduction of the Haemophilus influenzae serotype b (Hib) vaccine. METHODS: The medical records of all pediatrics patients (aged <18 years) at a tertiary pediatric hospital during the period January 2000 to July 2011 with a computed tomography orbital imaging querying "orbital cellulitis," "periorbital cellulitis," "preseptal cellulitis," or "post-septal cellulitis" were retrospectively reviewed...
June 2015: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Nagarajan Krishnan, Nathan Ramamoorthy, Suresh Panchanathan, Jothiramalingam S Balasundaram
Periorbital soft tissue swelling may result due to primary orbital pathology or from adjacent facio-maxillary or sino-nasal inflammatory causes. Osteomyelitis of maxilla in the pediatric age group is a rare entity in this era of antibiotics. We present an 11-month-old female infant who was brought with peri-orbital selling and purulent nasal discharge. Computed Tomography showed erosions of the walls of maxillary sinus suggestive of osteomyelitis. Culture of sinus scraping showed Staphylococcus aureus growth and the child improved with intravenous cloxacillin therapy...
July 2014: Journal of Global Infectious Diseases
Jose A Plaza, Martin Sangueza
Hydroa vacciniforme-like lymphoma (HVL) is a rare cutaneous T-cell lymphoma that is usually seen in children of Hispanic or Asian origin. Association between chronic latent Epstein-Barr virus infection in both hydroa vacciniforme (HV) and HVL has been demonstrated and has recently been categorized by the World Health Organization as one of the Epstein Barr virus-positive lymphoproliferative disorders of childhood. Patients with HVL present with a cutaneous rash characterized by edema, blisters, ulcers, and scars mainly seen on the face and extremities that mimic HV; however, unlike in HV, the lesions tend to be extensive and deeper and are associated with severe scarring, necrosis, and systemic manifestations...
January 2015: American Journal of Dermatopathology
A V Mathew, E Craig, R Al-Mahmoud, R Batty, A Raghavan, S R Mordekar, J Chan, D J A Connolly
OBJECTIVE: To assess the incidence and complications of pre-septal (pre-SC) and post-septal (post-SC) cellulitis over 10 years. Pre-SC and post-SC are also known as periorbital and orbital cellulitis, respectively. METHODS: Retrospective analysis of CT scans. Data included the presence of pre-SC and post-SC, paranasal sinus disease (PNS) and complications. RESULTS: Among 125 patients scanned for these suspected diagnoses, 67 had both pre-SC and post-SC, 37 had pre-SC and 4 had post-SC; there were 17 normal scans...
January 2014: British Journal of Radiology
Meghan Mary O'Connor, Marta Ania King
Nasolacrimal duct (NLD) obstruction is the most common cause of persistent tearing in a child younger than 1 year. Other possible causes include congenital eyelid abnormalities, chemical irritation, trauma, occult foreign body, congenital or early-onset glaucoma, and conjunctivitis. • In addition to NLD obstruction signs, dacryocystoceles also present with swelling over the nasolacrimal sac. The swelling often has a bluish discoloration. • Management of NLD obstruction requires a conservative approach with observation and nasolacrimal massage because spontaneous resolution occurs in approximately 90% by age 6 months and in more than 99% by age 12 months...
August 2013: Pediatrics in Review
Navdeep S Upile, Nazia Munir, Samuel C Leong, Andrew C Swift
INTRODUCTION: Periorbital cellulitis is inflammation of the eye anterior to the palpebral ligament. The sequeale may be life or vision threatening. There is no consensus on the optimal management strategies. METHODS: A two year retrospective case note analysis was performed on all hospital admissions to a tertiary children's hospital with the diagnosis. RESULTS: 226 notes were retrieved, 13 were excluded. The incidence of periorbital cellulitis was nearly 9 cases per month (8...
August 2012: International Journal of Pediatric Otorhinolaryngology
Ruth H Yeilding, Denis M O'Day, Chun Li, Pauline T Alexander, Louise A Mawn
PURPOSE: To report the occurrence of periorbital infections in 3 children treated with the tissue adhesive 2-octyl cyanoacrylate (Dermabond) after traumatic periorbital laceration. METHODS: We retrospectively reviewed the records of consecutive patients referred to Vanderbilt Children's Hospital for the treatment of periorbital infections to identify cases associated with the use of Dermabond. The clinical features and outcomes of each case were reviewed. We performed a meta-analysis of published cases to identify any association of tissue adhesive with wound infection rate...
April 2012: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Kousaku Matsubara, Hiroyuki Nigami, Aya Iwata, Yoshiko Uchida, Go Yamamoto, Bin Chang, Akihito Wada
To determine seasonal changes in the incidence of invasive pneumococcal disease (IPD) in children, we retrospectively analyzed 69 children with 72 episodes of IPD, admitted to a regional center in Kobe, Japan, between July 1994 and June 2011. IPD episodes involved occult bacteremia (n = 48), pneumonia (n = 10), meningitis (n = 10), periorbital cellulitis (n = 3), and mastoiditis (n = 1), including 3 cases of two IPD recurrences. We analyzed 5 IPD-associated factors previously documented in Europe and North Amrica with inconsistent results--1) age at onset, 2) sibling number, 3) preschool sibling number, 4) subjects' day care attendance, and 5) siblings' day care attendance...
January 2012: Kansenshōgaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
Joshua Bedwell, Nancy M Bauman
PURPOSE OF REVIEW: Orbital cellulitis and abscess formation in pediatric patients usually arises as a complication of acute sinusitis and if untreated may cause visual loss or life-threatening intracranial complications. This review describes the current evaluation and management of this condition. RECENT FINDINGS: Computed tomography with contrast remains the optimal imaging study for orbital inflammation. Orbital inflammation is still classified by Chandler's original description as preseptal or postseptal and nearly all cases of preseptal cellulitis are managed with oral antibiotics...
December 2011: Current Opinion in Otolaryngology & Head and Neck Surgery
Sami Pierre Moubayed, Thien-Tuong Vi Vu, Caroline Quach, Sam J Daniel
OBJECTIVE: Since the advent of the Haemophilus influenzae type B vaccine, no North American case series has described periorbital cellulitis extensively as the main focus in the otolaryngology literature has been the management of orbital abscesses. The aim of this study was to describe the epidemiology, underlying causes, clinical presentation, and medical management of periorbital cellulitis. STUDY DESIGN: Retrospective observational case series. SETTING: Montreal Children's Hospital, McGill University Health Centre, a tertiary pediatric referral center in Montreal, Quebec...
June 2011: Journal of Otolaryngology—Head & Neck Surgery
Jeffrey L Sugarman, Adam L Hersh, Tessie Okamura, Renee Howard, Ilona J Frieden
In order to assess the clinical characteristics and impact of group A streptococcal infection in children with atopic dermatitis, a retrospective review was performed in children diagnosed with atopic dermatitis who had a skin culture. Culture results and clinical characteristics of those with group A streptococcus were compared with those with Staphlococcus aureus. Infection with group A streptococcus was present in 16%; infection with Staphlococcus aureus was present in 72%, and 14% had mixed cultures. Patients infected with group A streptococcus were more likely to be febrile, to have facial and periorbital involvement, and to be hospitalized compared with those infected with Staphlococcus aureus alone (p ≤ 0...
May 2011: Pediatric Dermatology
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