AI Article Synopsis
- A 13-month-old boy showed signs of bilateral swelling around his eyes, runny nose, and fever, leading to a diagnosis of bilateral preseptal cellulitis.
- After his condition worsened with a persistent fever and new eye bulging, imaging tests showed he had sinusitis with abscesses.
- He underwent surgery to drain the abscesses and had a smooth recovery, highlighting that such serious orbital complications from sinusitis are rare but often require surgical intervention.
Article Abstract
A 13-month-old boy presented with bilateral periorbital swelling accompanied by rhinorrhea and fever. Nasal endoscopy revealed middle meatus edema and purulent discharge. He was diagnosed with bilateral preseptal cellulitis and treated with intravenous antibiotics. Continuous fever and new-onset proptosis with extraocular muscle restriction the next day prompted imaging, which revealed sinusitis with bilateral subperiosteal abscesses. He underwent endoscopic sinus surgery with bilateral abscess drainage and recovered uneventfully. Bilateral orbital complications of acute sinusitis are exceedingly rare occurrences and nearly always require surgical treatment.
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| http://dx.doi.org/10.1016/j.jaapos.2024.103986 | DOI Listing |
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