原创力文档rapidly progressing subperiosteal orbital abscess an unexpected complication of a group-a streptococcal pharyngitis in a healthy young patient迅速进展骨膜下的轨道脓肿的一个意想不到的并发症组链球菌咽炎在一个健康的年轻患者.pdfVIP
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rapidly progressing subperiosteal orbital abscess an unexpected complication of a group-a streptococcal pharyngitis in a healthy young patient迅速进展骨膜下的轨道脓肿的一个意想不到的并发症组链球菌咽炎在一个健康的年轻患者
Costantinides et al. Head Face Medicine 2012, 8:28
/content/8/1/28
HEAD FACE MEDICINE
CASE REPORT Open Access
Rapidly progressing subperiosteal orbital abscess:
an unexpected complication of a group-A
streptococcal pharyngitis in a healthy
young patient
1 2 3 4 1*
Fulvia Costantinides , Roberto Luzzati , Daniele Tognetto , Gabriele Bazzocchi , Matteo Biasotto
and Gian Carlo Tirelli5
Abstract
Introduction: Complications associated to group-A streptococcal pharyingitis include non-suppurative
complications such as acute rheumatic fever and glomerulonephritis and suppurative complications such as
peritonsillar or retropharyngeal abscess, sinusitis, mastoiditis, otitis media, meningitis, brain abscess, or thrombosis
of the intracranial venous sinuses.
Case presentation: We described a case of a 15-year-old patient with a history of acute pharyngodinia early
followed by improvise fever and a progressive formation of a diffuse orbital edema, corneal hyperaemia, diplopia
and severe decrease of visual acuity.
The patient was surgically treated with functional endoscopic sinus surgery (FESS) after the response of a
maxillofacial computed tomography scans that showed a pansinusitis complicated by a left orbital cellulites.
Numerous colonies of Streptococcus pyogenes were found in the samples of pus and an antibiotic therapy with
meropenem was initiated on the basis of the sensitivity test to antibiotics. The patient was finally discharged with
diagnosis of left orbital cellulites with periorbital abscess, endophtalmitis and acute pansinusitis as a consequence
of streptococcal pharyngitis.
Conclusion: T
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