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.
1) Department of Pediatrics, Kyoto City Hospital
2) Department of Infectious Diseases, Kyoto City Hospital
|Received||May 13, 2015|
|Accepted||September 16, 2015|