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Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report

Orbital cellulitis is a sight- and life-threatening condition. Prompt diagnosis and immediate intervention are required. We report a case of fatal odontogenic orbital cellulitis complicated with intracranial abscesses in a 55-year-old gentleman. The patient presented with painful swelling of the lef...

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Detalles Bibliográficos
Autores principales: Teoh, Ru Jian Jonathan, Lai, Yin Peng, Alias, Rohanah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448917/
https://www.ncbi.nlm.nih.gov/pubmed/37637668
http://dx.doi.org/10.7759/cureus.42435
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author Teoh, Ru Jian Jonathan
Lai, Yin Peng
Alias, Rohanah
author_facet Teoh, Ru Jian Jonathan
Lai, Yin Peng
Alias, Rohanah
author_sort Teoh, Ru Jian Jonathan
collection PubMed
description Orbital cellulitis is a sight- and life-threatening condition. Prompt diagnosis and immediate intervention are required. We report a case of fatal odontogenic orbital cellulitis complicated with intracranial abscesses in a 55-year-old gentleman. The patient presented with painful swelling of the left eye associated with reduced eye movement, blurry vision, and a headache. There was generalized periodontitis. Initial imaging was suggestive of left eye orbital cellulitis with intracranial abscess, and intensive systemic antibiotic therapy was initiated. After six weeks of antibiotic therapy, there was an improvement in ocular signs and symptoms. However, the patient developed signs of meningism with a persistent fever. Serial brain imaging demonstrated worsening intracranial abscesses. The patient died eight weeks after the initial onset of presentation. This case emphasized that brain abscesses could be a fatal complication of odontogenic orbital cellulitis. A high index of suspicion is important in diagnosing orbital cellulitis and its complications. Early consideration of surgical intervention is necessary in cases not responding to antibiotic therapy.
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spelling pubmed-104489172023-08-25 Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report Teoh, Ru Jian Jonathan Lai, Yin Peng Alias, Rohanah Cureus Emergency Medicine Orbital cellulitis is a sight- and life-threatening condition. Prompt diagnosis and immediate intervention are required. We report a case of fatal odontogenic orbital cellulitis complicated with intracranial abscesses in a 55-year-old gentleman. The patient presented with painful swelling of the left eye associated with reduced eye movement, blurry vision, and a headache. There was generalized periodontitis. Initial imaging was suggestive of left eye orbital cellulitis with intracranial abscess, and intensive systemic antibiotic therapy was initiated. After six weeks of antibiotic therapy, there was an improvement in ocular signs and symptoms. However, the patient developed signs of meningism with a persistent fever. Serial brain imaging demonstrated worsening intracranial abscesses. The patient died eight weeks after the initial onset of presentation. This case emphasized that brain abscesses could be a fatal complication of odontogenic orbital cellulitis. A high index of suspicion is important in diagnosing orbital cellulitis and its complications. Early consideration of surgical intervention is necessary in cases not responding to antibiotic therapy. Cureus 2023-07-25 /pmc/articles/PMC10448917/ /pubmed/37637668 http://dx.doi.org/10.7759/cureus.42435 Text en Copyright © 2023, Teoh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Teoh, Ru Jian Jonathan
Lai, Yin Peng
Alias, Rohanah
Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report
title Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report
title_full Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report
title_fullStr Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report
title_full_unstemmed Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report
title_short Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report
title_sort fatal orbital cellulitis with intracranial abscess: a case report
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448917/
https://www.ncbi.nlm.nih.gov/pubmed/37637668
http://dx.doi.org/10.7759/cureus.42435
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