Investigation and management of adult periorbital and orbital cellulitis

A Robinson; T Beech; A L McDermott; A Sinha

doi:10.1017/S0022215106003434

Abstract

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Background: Orbital cellulitis has important complications. Despite this, there are few studies in the literature of large groups of cases of this condition.

Methods: We performed a retrospective case analysis of all patients admitted with periorbital and orbital cellulitis between 2002 and 2004.

Results: A total of 27 cases were included in the study. Of these, 25 had undergone a computed tomography scan, 19 of which had revealed significant sinus disease; 10 had had a microbiology result, with the most common organism being Streptococcus milleri; 20 had had a white cell count taken, with raised results in only 10; 12 had undergone surgery; and 25 had made a good recovery. One case had been found to be squamous cell carcinoma of the nasal cavity.

Conclusions: In this study, sinus disease was the commonest cause of orbital cellulitis, with the commonest organism being Streptococcus milleri. Only 50 per cent of cases with proven disease had had a raised white cell count; this is therefore not a very sensitive test.

Crossref Citations

This article has been cited by the following publications. This list is generated based on data provided by Crossref.

Ichiki, Y. and Kitajima, Y. 2009. Frontal mucocele appearing with a subcutaneous forehead tumour. Clinical and Experimental Dermatology, Vol. 34, Issue. 5, p. 626.

2009. Current World Literature. Current Opinion in Otolaryngology & Head & Neck Surgery, Vol. 17, Issue. 1, p. 66.

Onakpoya, Oluwatoyin Helen Adeoye, Adenike O. and Akinpelu, Olubunmi V. 2009. Cost-Related Antibiotic Dosage Omissions—Challenge for Orbital Cellulitis Management in Resource Poor Communities. Orbit, Vol. 28, Issue. 2-3, p. 147.

Hoxworth, Joseph M. and Glastonbury, Christine M. 2010. Orbital and Intracranial Complications of Acute Sinusitis. Neuroimaging Clinics of North America, Vol. 20, Issue. 4, p. 511.

Baring, D.E.C. and Hilmi, O.J. 2011. An evidence based review of Periorbital Cellulitis. Clinical Otolaryngology, Vol. 36, Issue. 1, p. 57.

Deibel, Jonathon P. and Cowling, Kathleen 2013. Ocular Inflammation and Infection. Emergency Medicine Clinics of North America, Vol. 31, Issue. 2, p. 387.

Meshi, Amit and Nemet, Arie Y. 2014. Periorbital and orbital cellulitis in adults. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, Vol. 26, Issue. 4, p. 464.

van der Pol, Christian B. Chakraborty, Santanu Gao, Jennifer Nguyen, Thanh Torres, Carlos and Glikstein, Rafael 2014. Imaging Anatomy and Pathology of Extraocular Muscles in Adults. Canadian Association of Radiologists Journal, Vol. 65, Issue. 4, p. 366.

Khairallah, Moncef and Attia, Sonia 2014. Ocular Infections. p. 37.

Magrath, George N. Proctor, Charles M. Reardon, Wade A. Patel, Krishna G. Lentsch, Eric J. and Eiseman, Andrew S. 2015. Esophageal Adenocarcinoma and Urothelial Carcinoma Orbital Metastases Masquerading as Infection. Orbit, Vol. 34, Issue. 1, p. 51.

Atfeh, M S and Khalil, H S 2015. Orbital infections: five-year case series, literature review and guideline development. The Journal of Laryngology & Otology, Vol. 129, Issue. 7, p. 670.

Marchiano, Emily Raikundalia, Milap D. Carniol, Eric T. Echanique, Kristen A. Kalyoussef, Evelyne Baredes, Soly and Eloy, Jean Anderson 2016. Characteristics of patients treated for orbital cellulitis: An analysis of inpatient data. The Laryngoscope, Vol. 126, Issue. 3, p. 554.

Amin, Nikul Syed, Irfan and Osborne, Sarah 2016. Assessment and management of orbital cellulitis. British Journal of Hospital Medicine, Vol. 77, Issue. 4, p. 216.

Carniciu, Anaïs L. Chou, Jonathan Leskov, Ilya and Freitag, Suzanne K. 2017. Clinical Presentation and Bacteriology of Eyebrow Infections: The Massachusetts Eye and Ear Infirmary Experience (2008–2015). Ophthalmic Plastic & Reconstructive Surgery, Vol. 33, Issue. 5, p. 372.

Atfeh, Mihiar Sami Singh, Kathryn and Khalil, Hisham Saleh 2018. Orbital infections: a complete cycle 7-year audit and a management guideline. European Archives of Oto-Rhino-Laryngology, Vol. 275, Issue. 8, p. 2079.

Tsirouki, Theodora Dastiridou, Anna I. Ibánez flores, Nuria Cerpa, Johnny Castellar Moschos, Marilita M. Brazitikos, Periklis and Androudi, Sofia 2018. Orbital cellulitis. Survey of Ophthalmology, Vol. 63, Issue. 4, p. 534.

Markham, Jessica L. Hall, Matthew Bettenhausen, Jessica L. Myers, Angela L. Puls, Henry T. and McCulloh, Russell J. 2018. Variation in Care and Clinical Outcomes in Children Hospitalized With Orbital Cellulitis. Hospital Pediatrics, Vol. 8, Issue. 1, p. 28.

Shafighi Shahri, Elham Soleimanzadeh Mousavi, Seyed Hosein Osmani, Jamaladdin and Soleimani, Gholamreza 2021. Pediatrics Orbital and Preseptal Cellulitis: A 2-year Experience. Journal of Comprehensive Pediatrics, Vol. 12, Issue. 1,

Xiaoyan, Liu Wenjuan, Luo and Wanna, Ren 2023. Case Report: Vision Loss in a Child Caused by Streptococcus constellatus. Optometry and Vision Science,

Ang, Terence Juniat, Valerie Shapira, Yinon and Selva, Dinesh 2023. Systemic inflammatory markers differentiate between orbital cellulitis and non-specific orbital inflammation. Orbit, Vol. 42, Issue. 3, p. 245.

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Article contents

Investigation and management of adult periorbital and orbital cellulitis

Abstract

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This article has been cited by the following publications. This list is generated based on data provided by Crossref.

Article contents

Investigation and management of adult periorbital and orbital cellulitis

Abstract

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