0
December 1992, Vol 146, No. 12 >
Article | December 1992

Radiological Case of the Month FREE

Horst D. Weinberg, MD; Beverly P. Wood, MD
[+] Author Affiliations

Accepted for publication March 29, 1990.

Reprint requests to Department of Radiology, MS81, Childrens Hospital Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Wood).


Am J Dis Child. 1992;146(12):1471-1472. doi:10.1001/archpedi.1992.02160240081025.
Text Size: A A A
Published online
Article
References
Comments

A 7½-year-old boy was evaluated because of high fever, general malaise, and erythema and swelling of the left eyelid. The presumptive diagnosis was periorbital cellulitis, and he started therapy with oral cefaclor. He was afebrile the next day, and ocular movements were described as normal, but redness of the periorbital area-was unchanged. On the third day (after 2 days of therapy with antibiotics), he was feeling well, and the periorbital redness and swelling were decreasing. Cefaclor therapy was continued, and 6 days later he resumed normal activity. However, on reevaluation there was proptosis of the left eye and downward displacement of the eye. Lateral and medial movements of the left eye were limited. He complained of fuzzy vision, diplopia, and tenderness to pressure on the eyeball. Funduscopic examination showed edema and blurring of the left disc margin. An axial computed tomographic scan of the orbits was obtained (Figure), and he

REFERENCES

1 +
Hornblass A, Herschorn BJ, Stern K, Grimes C.  Orbital abscess . Surv Ophthalmol . 1984;;29:169-178.
2 +
White JA, Miller RH.  Orbital and periorbital soft tissue infections secondary to sinusitis . J La State Med Soc . 1987;;139:23-24, 29-30.
3 +
Moloney JR, Badham NJ, McRae A.  The acute orbit: preseptal (periorbital) cellulitis due to sinusitis . J Laryngol Otol Suppl . 1987;;12:1-18.
4 +
Som PM, Lawson W, Biller HF, Lanzieri CF.  Ethmoid sinus disease: CT evaluation in 400 cases, part I: nonsurgical patients . Radiology . 1986;;159: 591-597.
5 +
Som PM, Lawson W, Biller HF, Lanzieri CF.  Ethmoid sinus disease: CT evaluation in 400 cases, part II: postoperative findings . Radiology . 1986;; 159:599-604.
6 +
Towbin R, Han BK, Kaufman RA, Burke M.  Postseptal cellulitis: CT in diagnosis and measurement . Radiology . 1986;;158:735-737.
7 +
Zimmerman RA, Bilaniuk LT.  CT of orbital infection and its cerebral complications . AJR Am J Roentgenol . 1980;;134:45-50.
8 +
Harris GE.  Subperiosteal abscess of the orbit . Arch Ophthalmol . 1983;; 101:751-757.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Hornblass A, Herschorn BJ, Stern K, Grimes C.  Orbital abscess . Surv Ophthalmol . 1984;;29:169-178.
2 +
White JA, Miller RH.  Orbital and periorbital soft tissue infections secondary to sinusitis . J La State Med Soc . 1987;;139:23-24, 29-30.
3 +
Moloney JR, Badham NJ, McRae A.  The acute orbit: preseptal (periorbital) cellulitis due to sinusitis . J Laryngol Otol Suppl . 1987;;12:1-18.
4 +
Som PM, Lawson W, Biller HF, Lanzieri CF.  Ethmoid sinus disease: CT evaluation in 400 cases, part I: nonsurgical patients . Radiology . 1986;;159: 591-597.
5 +
Som PM, Lawson W, Biller HF, Lanzieri CF.  Ethmoid sinus disease: CT evaluation in 400 cases, part II: postoperative findings . Radiology . 1986;; 159:599-604.
6 +
Towbin R, Han BK, Kaufman RA, Burke M.  Postseptal cellulitis: CT in diagnosis and measurement . Radiology . 1986;;158:735-737.
7 +
Zimmerman RA, Bilaniuk LT.  CT of orbital infection and its cerebral complications . AJR Am J Roentgenol . 1980;;134:45-50.
8 +
Harris GE.  Subperiosteal abscess of the orbit . Arch Ophthalmol . 1983;; 101:751-757.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems