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KMID : 0388419960050020189
Konkuk Journal of Medical Sciences
1996 Volume.5 No. 2 p.189 ~ p.192
A Case of Periorbital Cellulitis due to Acute Sinusitis in Adult



Abstract
Complications of paranasal sinusitis has been progressively decreasing since the advent of antibiotics. The periorbital cellulitis most commonly arises from the spread or contiguous infections of the lids, teeth, or paranasal sinuses. The most
frequently isolated pathogens in the orbital infection are staphylococcus and streptococcus pyogen. The periorbital cellulitis occurs most frequently in the childhood.
We report one case of periorbital cellulitis induced by acute ethmoiditis. A 37-year-old male patient visited the otolaryngologic out patient clinical with symptom of severe headache around left orbital area for 2 days. The physical examination
revealed
no gross abnormality except mucopurulent discharge from the left middle meatus. A plain paranasal sinus films showed hazziness in the left ethmoid sinus and frontal sinus. The patient was admitted due to severe headache. On the evening of
admission
day
the patient's left eyeball was protruded and periorbital edema occured. Although the administration of parenteral antibiotics the edema and protrusion of left eyeball became worse, and orbital sonogram revealed cellulitis. An emergency under the
endoscopic control was performed on the third admission day. On the second postoperative day the patient's eyelid swelling decreased. On the sixth postoperative day the patient was discharged without orbital sequelae. We report this case with
review of
the literature.
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