Аcute sinusitis as a cause of orbit phegmon in a newborn child

Abstract

Orbital complications of varying severity caused by acute sinusitis are relatively common in pediatric practice. These complications develop depending on the anatomical features of the paranasal sinuses and eye sockets in children and immune system impairment.

AIM: To present a clinical case of orbital phlegmon in a newborn child.

RESULTS: A 17-day-old female infant was admitted to the Infectious Diseases Department of the Altai Regional Center for Maternal and Childhood Protection. After self-treatment, her health status did not improve; thus, she was hospitalized. After additional instrumental methods of research, the following diagnosis was made: рhlegmon of the left orbit, subperiosteal abscess on the left, and ethmoiditis with destruction on the left. A consultation of specialists (an ophthalmologist, otorhinolaryngologist, and neonatologist) determined the further management approach.

CONCLUSION: Orbital complications in pediatric practice require an immediate assessment of the clinical condition by an otorhinolaryngologist and an ophthalmologist. The clinical case presented focuses on the need for an interdisciplinary approach and hospitalization in the initial disease stages to provide therapy because the infection may spread to the intracranial region.

Keywords

phlegmon of the orbit / acute sinusitis / newborn baby

References

[1] Wong SJ, Levi J. Management of pediatric orbital cellulitis: A systematic review. Int J Pediatr Otorhinolaryngol. 2018;110:123–129. doi: 10.1016/j.ijporl.2018.05.006

[2] Wong S.J., Levi J. Management of pediatric orbital cellulitis: A systematic review // Int J Pediatr Otorhinolaryngol. 2018. N 110. Р. 123–129. doi: 10.1016/j.ijporl.2018.05.006

[3] Goncalves R, Menezes C, Machado R, et al. Periorbital cellulitis in children: analysis of outcome of intravenous antibiotic therapy. Orbit. 2016;35(4):175–180. doi: 10.1080/01676830.2016.1176205

[4] Goncalves R., Menezes C., Machado R., et al. Periorbital cellulitis in children: analysis of outcome of intravenous antibiotic therapy // Orbit. 2016. Vol. 35, N 4. Р. 175–180. doi: 10.1080/01676830.2016.1176205

[5] Georgakopoulos CD, Eliopoulou MI, Stasinos S, et al. Periorbital and orbital cellulitis: a 10-year review of hospitalized children. Eur J Ophthalmol. 2010;20(6):1066–1072. doi: 10.1177/112067211002000607

[6] Georgakopoulos C.D., Eliopoulou M.I., Stasinos S., et al. Periorbital and orbital cellulitis: a 10-year review of hospitalized children // Eur J Ophthalmol. 2010. Vol. 20, N 6. Р. 1066–1072. doi: 10.1177/112067211002000607

[7] Lee S, Fernandez J, Mirjalili SA, Kirkpatrickc J. Pediatric paranasal sinuses — development, growth, pathology, functional endoscopic sinus surgery. Clin Anat. 2022;35(6):745–761. doi: 10.1002/ca.23888

[8] Lee S., Fernandez J., Mirjalili S.A., Kirkpatrickc J. Pediatric paranasal sinuses — development, growth, pathology, functional endoscopic sinus surgery // Clin Anat. 2022. Vol. 35, N 6. Р. 745–761. doi: 10.1002/ca.23888

[9] Torretta S, Guastella C, Marchisio P, et al. Sinonasal-Related Orbital Infections in Children: A Clinical and Therapeutic Overview. J Clin Med. 2019;8(1):101. doi: 10.3390/jcm8010101

[10] Torretta S., Guastella C., Marchisio P., et al. Sinonasal-Related Orbital Infections in Children: A Clinical and Therapeutic Overview // J Clin Med. 2019. Vol. 8, N 1. Р. 101. doi: 10.3390/jcm8010101

[11] Saltagi MZ, Rabbani CC, Patel KS, et al. Orbital Complications of Acute Sinusitis in Pediatric Patients: Management of Chandler III Patients. Allergy Rhinol (Providence). 2022;13:21526575221097311. doi: 10.1177/21526575221097311

[12] Saltagi M.Z., Rabbani C.C., Patel K.S., et al. Orbital Complications of Acute Sinusitis in Pediatric Patients: Management of Chandler III Patients // Allergy Rhinol (Providence). 2022. N 13. Р. 21526575221097311. doi: 10.1177/21526575221097311

[13] Zimmer A, Reith W. Inflammatory diseases of the orbit. Radiologe. 2008;48(12):1143–1149. (In German). doi: 10.1007/s00117-008-1690-1

[14] Zimmer A., Reith W. Entzündungen der Orbita // Radiologe. 2008. Vol. 48, N 12. Р. 1143–1149. doi: 10.1007/s00117-008-1690-1

[15] April MM, Zinreich SJ, Baroody FM, Naclerio RM. Coronal CT scan abnormalities in children with chronic sinusitis. Laryngoscope. 1993;103(9):985–990. doi: 10.1288/00005537-199309000-00008

[16] April M.M., Zinreich S.J., Baroody F.M., Naclerio R.M. Coronal CT scan abnormalities in children with chronic sinusitis // Laryngoscope. 1993. Vol. 103, N 9. Р. 985–990. doi: 10.1288/00005537-199309000-00008

[17] Alekseenko SI, Molchanova MV, Artyushkin SA, et al. A clinical case of rhinogenous orbit phlegmon in a four months old infant. Russian Otorhinolaryngology. 2019;98(1):92–97. (In Russ). doi: 10.18692/1810-4800-2019-1-92-97

[18] Алексеенко С.И., Молчанова М.В., Артюшкин С.А., и др. Клинический случай риногенной флегмоны орбиты у ребенка четырех месяцев // Российская оториноларингология. 2019. Т. 98, № 1. С. 92–97. doi: 10.18692/1810-4800-2019-1-92-97

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