Monday, October 11, 2010

Satellite

This child who had a recent ED visit for acute sinusitis presents with swelling and erythema around her eye. Eye movements are painful. You note chemosis, proptosis, and mild globe displacement on exam. It is difficult to test visual acuity since she complains about seeing double. She refuses extraocular movement testing.

Challenge: What's the diagnosis and what are the bugs?

Image shown under Fair Use.
at

5 comments:

  1. jimmyOctober 11, 2010 at 10:39 AM

    Orbital Cellulitis

    ReplyDelete
  2. AlexOctober 11, 2010 at 1:52 PM

    orbital cellulitis

    ReplyDelete
  3. daisyOctober 14, 2010 at 3:04 PM

    orbital cellulitis?

    ReplyDelete
  4. sidOctober 14, 2010 at 11:13 PM

    Orbital cellulitis....

    ReplyDelete
  5. CraigOctober 18, 2010 at 3:15 PM

    yes, you're all right - nicely done
    -
    Satellite

    Orbital cellulitis is caused by Staph aureus and Streptococcci (less commonly H. influenzae, Eikenella, and anaerobes). Orbital cellulitis is sight and life threatening.

    Sources: UpToDate; lib.uiowa.edu.

    ReplyDelete

Comments on this blog are moderated so they will not show up until after the solution to the case is posted.

Note: Only a member of this blog may post a comment.