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Bilateral Intraorbital Abscesses With Intracranial Complications In A Young Cameroonian Girl: A Case Report

O. Abdouramani, S. Nguefack, Va Dohvoma, B. Moifo, A. O. Eballé, A. Moho, É. Epee, E. Mbonda, A. Bella
Published 2012 · Medicine

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Background: Intraorbital abscess is a very severe infection with ophthalmologic and neurologic complications that are sometimes life-threatening. Objective: To report the etiologic, clinical, radiologic, and prognostic features of one case of bilateral intraorbital abscesses with intracranial complications. Case report: A 15-year-old Cameroonian girl in a comatose state (11/15 on the Glasgow Coma Scale) with meningeal signs, right hemiplegia, right facial palsy, and bilateral exophthalmia was admitted for meningitis and cerebral abscess secondary to orbital cellulitis. A lumbar tap was carried out, no organisms were seen by Gram stain, and culture was negative due to previous antibiotic therapy. A computed tomography scan showed a left internal capsule infarct and a pansinus opacification. Bilateral superior orbitotomies were performed and the abscess evacuated. Microscopy and culture of surgical material were negative. The patient was discharged 4 weeks after hospital admission with a visual acuity of 0.1 in both eyes, aphasia, and right hemiplegia. Nine months later, there was complete visual recovery (visual acuity 1.0 in both eyes). Anterior and posterior segments were normal on slit-lamp examination. There was no aphasia, but right-sided hemiparesis persisted. Conclusion: The authors emphasize the need for prevention, early diagnosis, and adequate treatment of orbital cellulitis in order to avoid complications.
This paper references
10.1177/019459989110400604
Blindness Resulting from Orbital Complications of Sinusitis
B. Patt (1991)
Abces intraobitaires: a propos de deux cas
A Kabre
Orbital abscess: management and outcome.
N. Suneetha (2000)
Cellulites orbitaires chez l'enfant: Á propos d'une étude rétrospective de 33 cas
F. Ailal (2004)
10.1016/S0161-6420(94)31297-8
Subperiosteal abscess of the orbit. Age as a factor in the bacteriology and response to treatment.
G. J. Harris (1994)
10.1016/S0161-6420(02)01765-7
Bilateral cavernous sinus thromboses and intraorbital abscesses secondary to Streptococcus milleri.
L. Watkins (2003)
10.1097/00002341-199112000-00004
Mechanisms of Visual Loss in Severe Proptosis
P. Dolman (1991)
10.1097/00005537-200201000-00011
The Intracranial Complications of Rhinosinusitis: Can They Be Prevented?
N. Jones (2002)
10.1016/0091-6749(92)90164-W
Diagnosis of sinusitis in children: emphasis on the history and physical examination.
P. Fireman (1992)
10.1017/S0022215100158311
Antibiotic choice in acute and complicated sinusitis.
S. Mortimore (1998)
10.1017/S0022215100138459
The Groote Schuur hospital classification of the orbital complications of sinusitis.
S. Mortimore (1997)
10.1097/IOP.0b013e318182aff7
Bilateral intraorbital abscesses and cavernous sinus thromboses secondary to Streptococcus milleri with a favorable outcome.
P. Udaondo (2008)
Abces intraobitaires: a propos de deux cas [Intraorbital abscess: a report of two cases
A Kabre (2002)
10.1288/00005537-197009000-00007
The pathogenesis of orbital complications in acute sinusitis
J. R. Chandler (1970)
10.1016/j.otohns.2005.03.020
Complications of Acute Sinusitis in Children
L. Oxford (2005)
[Orbital cellulitis in children: a retrospective study of 33].
F. Ailal (2004)
Age as a factor in the bacteriology and response to treatment of subperiosteal abscess of the orbit.
G. J. Harris (1993)
10.2214/AJR.134.1.45
CT of orbital infection and its cerebral complications.
R. Zimmerman (1980)



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