Orbital Cellulitis in Paediatric Patient with Sinusitis

• Main Authors: Gurnoor Singh, Anand Kumar Bhardwaj, Gauri Chauhan, Bharat Bhushan Singh
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2020-05-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: ethmoidal sinusitis; functional endoscopic sinus surgery; multidisciplinary management
• Online Access: https://jcdr.net/articles/PDF/13718/43417_CE[Ra1]_F(SHU)_PF1(AG_KM)_PFA(SL)_PB(AG_KM)_GC(RV_KM_SL)_PN(SL).pdf

Orbital cellulitis is a serious complication of sinusitis. It is a common life-threatening infection of the post-septal tissues of the orbit and one of the most common causes of orbital inflammation. A five-year-old boy presented to Emergency room with pain and swelling of right eye with history of cough, coryza and fever. He was immediately hospitalised and broad-spectrum antibiotics were started on an empirical basis. MRI showed sign of ethmoidal sinusitis with orbital cellulitis. Functional endoscopic sinus surgery was done and pus was drained from ethmoidal and maxillary sinuses. As child recovered, he was discharged after 14 days course of antibiotics (Ceftriaxone, Metronidazole and Vancomycin). Treatment of such cases usually requires multidisciplinary collaborated management by Paediatric, Radiology, Otorhinolaryngology and Surgical team.