Orbital cellulitis

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Right orbital swelling, pain, fever, and watering of the right eye for 5 days.

Patient Data

Age: 10 years
Gender: Male
ct

Significant infection and inflammation of the right orbit (involving both pre- and post-septal regions) are noted at the medial aspect. Extension of infection from the right ethmoid sinusitis and resultant in small sub-periosteal abscess. No intracranial extension.

Bilateral maxillary sinusitis (worst on the right side).

Case Discussion

Orbital cellulitis, also called post-septal cellulitis, is usually an extension of infection from adjacent paranasal sinuses. It's an emergency condition that requires hospitalization and surgical treatment in comparison to less severe preseptal cellulitis.

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