PeriorbitalvsOrbitalCellulitis_RC

PeriorbitalvsOrbitalCellulitis_RC - ● Blood cultures and...

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Periorbital vs Orbital Cellulitis Name: Rachel Chacko Periorbital Cellulitis Orbital Cellulitis Principles of Disease/Clinical Features Infection lying anterior to orbital septum Swelling of eyelid Discoloration of the orbital skin Redness Warmth Conjunctival ecchymosis (subcutaneous purpura larger than 1 centimeter or a Occasional discharge Fever Leukocytosis Vision, extraocular movements, papillary findings, and optometric examination findings are normal Management Early stages may be followed on outpatient basis for first 24-48 hrs of antibiotic therapy with daily follow up to determine whether resolution is occurring Broad spectrum antistaphylococcal agent will be appropriate Principles of Disease/Clinical Features Similar but more severe symptoms Proptosis Decreased ocular mobility Ocular pain Tenderness on eye movement Causative organisms: Streptococcus species are most common Diagnostics Computed tomography scan of the orbit
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Unformatted text preview: ● Blood cultures and lumbar punctures for those with high fevers or those showing symptoms of meningismus or sepsis Management ● Hospitalization ● IV antibiotics ● Incision and drainage in some cases (reasons: clinical deterioration on antibiotics, presence of foreign body as cause of infection, presence of abscess) ● Broad spectrum antibiotic coverage of H. influenza, S. aureus, S. pyogenes and anaerobes is indicated Both ● Associated with young and age and unilateral ● Strong association with pre-existing sinus infections ● Other causes: penetrating or abrading skin trauma and preexisting vascular of pustular periocolar skin infections http://www.mdconsult.com/books/page.do?sid=1049287235&eid=4-u1.0-B978-0-323-05472-0. .00135-3--s0050&isbn=978-0-323-05472-0&type=bookPage&sectionEid=4-u1.0-B978-0-323-05472-0. .00135-3--s0055&uniqId=217631113-17#4-u1.0-B978-0-323-05472-0. .00135-3--s0055...
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