Bibliographic Details
| Title: |
Periorbital purulent drainage of resulting from bacterial pansinusitis |
| Authors: |
Chia-Ming Lin, Pin-Keng Shih |
| Source: |
Formosan Journal of Surgery, Vol 52, Iss 2, Pp 60-62 (2019) |
| Publisher Information: |
Wolters Kluwer Health/LWW, 2019. |
| Publication Year: |
2019 |
| Collection: |
LCC:Surgery |
| Subject Terms: |
Periorbital cellulitis, sinusitis, Streptococcus constellatus, Surgery, RD1-811 |
| More Details: |
Periorbital cellulitis is much more common in younger children than in adolescents or adults, and most cases of uncomplicated periorbital cellulitis can be treated with antibiotics alone. Here, we report a case of a 53-year-old man with periorbital purulent discharge. Computed tomography imaging revealed pansinusitis. Pus culture isolated a pathogen of Streptococcus constellatus, but it was refractory to 2 weeks of antibiotic therapy with amoxicillin–clavulanate. The patient underwent debridement and functional endoscopic sinus surgery, followed by 10 days of hyperbaric oxygen treatment. The above antibiotic was changed to full-dose intravenous clindamycin. Two weeks after the surgery, the patient was discharged from the hospital. At 1-month follow-up, no purulent discharge was noted; however, mild left-eyelid contracture was observed. This study suggested that if conservative therapy for periorbital purulent discharge in an adult is not effective, progressive treatment, including surgery, should be considered. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1682-606X |
| Relation: |
http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=2;spage=60;epage=62;aulast=Lin; https://doaj.org/toc/1682-606X |
| DOI: |
10.4103/fjs.fjs_76_18 |
| Access URL: |
https://doaj.org/article/436ea30f05ea4115895e0922bbdc64c0 |
| Accession Number: |
edsdoj.436ea30f05ea4115895e0922bbdc64c0 |
| Database: |
Directory of Open Access Journals |
