Article in Japanese

A case of recurrent periorbital cellulitis after orbital cellulitis with subdural abscess caused by Streptococcus pneumoniae

Hiroaki MURAKAMI¹⁾, Norio NAKAGAWA¹⁾, Tsunehiro SHIMIZU²⁾, Hiroshi KURODA¹⁾

We report a case of recurrent periorbital cellulitis after treatment of orbital cellulitis with subdural abscess and bacteremia caused by Streptococcus pneumoniae serotype 15A. The 8-month-old female patient had her first infection of orbital cellulitis, which was treated by incision and drainage of the abscess, followed by a 2-week course of intravenous antibiotics and two weeks of oral antibiotics. Although disappearance of local inflammation was confirmed by MRI, periorbital cellulitis recurred in the same eyelid. Recurrent periorbital cellulitis is very rare, and its underlying mechanisms are unknown. In this case, destruction of lamina papyracea on the same side and sinusitis are possible causes.

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1) Department of Pediatrics, Kyoto City Hospital
2) Department of Infectious Diseases, Kyoto City Hospital

Key words
Received	May 13, 2015
Accepted	September 16, 2015

27 (4)：279─284,2016