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Botulinum toxin complications and management
Published in Michael Parker, Charlie James, Fundamentals for Cosmetic Practice, 2022
Common presenting features of periorbital cellulitis are oedema and erythema of the eyelid and soft tissues surrounding the eye. Secondary signs may also include conjunctival injection, low-grade fever and difficulty opening the eyelids. As peri-orbital cellulitis does not invade the orbit, patients do not have visual impairment, proptosis, or limited or painful eye movements. This can only be ascertained with a prompt and detailed ophthalmic examination.
Ophthalmic Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Infection may be: Pre-septal ‘periorbital cellulitis’, often related to locally infected or traumatized skin.Post-septal or true ‘orbital cellulitis’, which is less common and more serious. It arises from the paranasal sinuses or orbital trauma.
Role of Bacteria in Dermatological Infections
Published in K. Balamurugan, U. Prithika, Pocket Guide to Bacterial Infections, 2019
Thirukannamangai Krishnan Swetha, Shunmugiah Karutha Pandian
Frequently witnessed facial cellulitis is now a rarely observed type, which is recently demarcated as erysipelas (superficial cellulitis) in some literature. The vital complication associated with facial cellulitis comprises odontogenic or orbital infections, which require immediate attention and surgical episodes (Stevens et al., 2014). Perianal cellulitis is witnessed in young children and is characterized by purulent drainage, perianal pruritus, fissures, and rectal bleeding. Periorbital cellulitis is observed in eyelid portion and periorbital tissues. Buccal cellulitis is greatly observed in children before vaccination with conjugated H. influenzae type b vaccine and is responsible for 25% of the facial cellulitis cases (Swartz, 2004). Purulent cellulitis may also be observed in several cases, which occur as an extension of initial abscess and culminate in secondary cellulitis followed by purulent drainage and exudation (Ibrahim et al., 2015).
Subgaleal haematoma as a cause of periorbital necrotising fasciitis: a case report
Published in Orbit, 2020
Chloe FT Ting, Jonathan Lam, Con Anastas
A 35-year-old female initially presented to a peripheral hospital having developed bilateral periorbital pain and swelling that increased over a one-day period. This was associated with an unwitnessed fall 3 days prior to her presentation where she sustained a laceration to the occiput after hitting her head against the edge of a window with no other complaints. There was a background history of chronic alcohol abuse. A presumptive diagnosis of bilateral periorbital cellulitis was made and IV flucloxacillin was commenced. In the subsequent 14 hours the swelling and pain increased. She also began to demonstrate signs of sepsis including fever, hypotension and tachycardia. At that point, preliminary blood cultures were suspicious of a Streptococcal infection. IV clindamycin was added to her therapeutic regimen and she was transferred to Royal Perth Hospital for further management.
Orbital ecthyma gangrenosum in multiple myeloma
Published in Baylor University Medical Center Proceedings, 2019
A 58-year-old man presented with 2 days of painless left periorbital swelling that rapidly progressed to a black eschar. He also had blurry vision in his left eye and a large ecchymotic patch over his scalp. He had known multiple myeloma refractory to therapy despite two autologous stem cell transplants. One week earlier, he had started a new regimen consisting of dexamethasone, cyclophosphamide, etoposide, and cisplatin. He was also known to have heart failure and atrial fibrillation, for which he was taking rivaroxaban. On admission his temperature was 38.3°C, his heart rate was 120 beats a minute, and his blood pressure was 80/60 mm Hg. The left eye lid was markedly swollen with bluish-black discoloration, and he was unable to open it (Figure 1a). His vision was intact, but the visual field was obscured by the swelling. A large ecchymosis was noted over the scalp with skin breakdown and mild oozing (Figure 1b). He also had a 2 × 3-cm ecchymotic patch beneath his left nipple (Figure 1c). Laboratory studies are shown in Table 1. Computed tomography of the orbit showed diffuse left periorbital cellulitis without any fluid collection. Chest x-ray was normal.
Bilateral periorbital leukemia cutis presenting as suspected cellulitis
Published in Orbit, 2022
Lalita Gupta, Melissa A. Levoska, Timmie Sharma, Kord Honda, Mark A. Prendes
In conclusion, this case demonstrates that in a patient with immunosuppression such as a patient with leukemia, periorbital edema and erythema may often first be attributed to periorbital cellulitis, a skin and soft tissue infection. However, one should also consider a possible extramedullary manifestation of the underlying malignancy. In addition, as leukemia cutis is associated with a poor prognosis, early and accurate diagnosis of this condition may help guide the approach to the patient’s underlying disease and allow for more timely initiation of treatment and improved patient outcomes.