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Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient

INTRODUCTION: Complications associated to group-A streptococcal pharyingitis include non-suppurative complications such as acute rheumatic fever and glomerulonephritis and suppurative complications such as peritonsillar or retropharyngeal abscess, sinusitis, mastoiditis, otitis media, meningitis, br...

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Autores principales: Costantinides, Fulvia, Luzzati, Roberto, Tognetto, Daniele, Bazzocchi, Gabriele, Biasotto, Matteo, Tirelli, Gian Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517307/
https://www.ncbi.nlm.nih.gov/pubmed/23067784
http://dx.doi.org/10.1186/1746-160X-8-28
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author Costantinides, Fulvia
Luzzati, Roberto
Tognetto, Daniele
Bazzocchi, Gabriele
Biasotto, Matteo
Tirelli, Gian Carlo
author_facet Costantinides, Fulvia
Luzzati, Roberto
Tognetto, Daniele
Bazzocchi, Gabriele
Biasotto, Matteo
Tirelli, Gian Carlo
author_sort Costantinides, Fulvia
collection PubMed
description INTRODUCTION: Complications associated to group-A streptococcal pharyingitis include non-suppurative complications such as acute rheumatic fever and glomerulonephritis and suppurative complications such as peritonsillar or retropharyngeal abscess, sinusitis, mastoiditis, otitis media, meningitis, brain abscess, or thrombosis of the intracranial venous sinuses. CASE PRESENTATION: We described a case of a 15-year-old patient with a history of acute pharyngodinia early followed by improvise fever and a progressive formation of a diffuse orbital edema, corneal hyperaemia, diplopia and severe decrease of visual acuity. The patient was surgically treated with functional endoscopic sinus surgery (FESS) after the response of a maxillofacial computed tomography scans that showed a pansinusitis complicated by a left orbital cellulites. Numerous colonies of Streptococcus pyogenes were found in the samples of pus and an antibiotic therapy with meropenem was initiated on the basis of the sensitivity test to antibiotics. The patient was finally discharged with diagnosis of left orbital cellulites with periorbital abscess, endophtalmitis and acute pansinusitis as a consequence of streptococcal pharyngitis. CONCLUSION: The case highlights the possible unusual complication of a group-A streptococcal pharyingitis in a immunocompetent child and the needing of a prompt surgical and medical approach toward the maxillofacial complications associated to the infection.
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spelling pubmed-35173072012-12-08 Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient Costantinides, Fulvia Luzzati, Roberto Tognetto, Daniele Bazzocchi, Gabriele Biasotto, Matteo Tirelli, Gian Carlo Head Face Med Case Report INTRODUCTION: Complications associated to group-A streptococcal pharyingitis include non-suppurative complications such as acute rheumatic fever and glomerulonephritis and suppurative complications such as peritonsillar or retropharyngeal abscess, sinusitis, mastoiditis, otitis media, meningitis, brain abscess, or thrombosis of the intracranial venous sinuses. CASE PRESENTATION: We described a case of a 15-year-old patient with a history of acute pharyngodinia early followed by improvise fever and a progressive formation of a diffuse orbital edema, corneal hyperaemia, diplopia and severe decrease of visual acuity. The patient was surgically treated with functional endoscopic sinus surgery (FESS) after the response of a maxillofacial computed tomography scans that showed a pansinusitis complicated by a left orbital cellulites. Numerous colonies of Streptococcus pyogenes were found in the samples of pus and an antibiotic therapy with meropenem was initiated on the basis of the sensitivity test to antibiotics. The patient was finally discharged with diagnosis of left orbital cellulites with periorbital abscess, endophtalmitis and acute pansinusitis as a consequence of streptococcal pharyngitis. CONCLUSION: The case highlights the possible unusual complication of a group-A streptococcal pharyingitis in a immunocompetent child and the needing of a prompt surgical and medical approach toward the maxillofacial complications associated to the infection. BioMed Central 2012-10-16 /pmc/articles/PMC3517307/ /pubmed/23067784 http://dx.doi.org/10.1186/1746-160X-8-28 Text en Copyright ©2012 Costantinides et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Costantinides, Fulvia
Luzzati, Roberto
Tognetto, Daniele
Bazzocchi, Gabriele
Biasotto, Matteo
Tirelli, Gian Carlo
Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient
title Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient
title_full Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient
title_fullStr Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient
title_full_unstemmed Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient
title_short Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient
title_sort rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-a streptococcal pharyngitis in a healthy young patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517307/
https://www.ncbi.nlm.nih.gov/pubmed/23067784
http://dx.doi.org/10.1186/1746-160X-8-28
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