دورية أكاديمية
أعرض في EDS

Case Report: Vision Loss in a Child Caused by Streptococcus constellatus.

التفاصيل البيبلوغرافية
العنوان: Case Report: Vision Loss in a Child Caused by Streptococcus constellatus.
المؤلفون: Liu X; Department of Ophthalmology, Lanzhou University Second Hospital, Lanzhou, Gansu, China., Luo W; Department of Ophthalmology, Lanzhou University Second Hospital, Lanzhou, Gansu, China., Ren W
المصدر: Optometry and vision science : official publication of the American Academy of Optometry [Optom Vis Sci] 2023 Oct 01; Vol. 100 (10), pp. 721-725. Date of Electronic Publication: 2023 Aug 29.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8904931 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-9235 (Electronic) Linking ISSN: 10405488 NLM ISO Abbreviation: Optom Vis Sci Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Baltimore, MD] : Williams & Wilkins, c1989-
مواضيع طبية MeSH: Orbital Cellulitis*/diagnosis , Orbital Cellulitis*/therapy , Orbital Cellulitis*/etiology , Streptococcus constellatus* , Exophthalmos*/drug therapy, Male ; Humans ; Child ; Abscess/diagnosis ; Abscess/therapy ; Abscess/complications ; Vision Disorders/etiology ; Anti-Bacterial Agents/therapeutic use
مستخلص: Purpose: We present a rare case of Streptococcus constellatus -induced odontogenic orbital cellulitis.
Methods: An 8-year-old boy presented to an outpatient clinic with complaints of right-sided toothache, right eye swelling, and decreased visual acuity. He was referred to a pediatric critical care department for further management. Comprehensive diagnostic assessments, such as ophthalmic examination, blood tests, computed tomography, and MRI, were performed.
Results: On presentation, the best-corrected visual acuities were 20/250 and 20/20 in the right and left eyes, respectively. Examination revealed grade 2+ eyelid edema and erythema and grade 4+ chemosis and exophthalmos in the right eye. The patient displayed restricted eye movements in all directions. Blood tests revealed a total white blood cell count of 12,100 cells/μL. Axial and coronal computed tomography revealed right-sided maxillary sinus, ethmoidal sinus, and orbital abscesses. Therefore, the patient was diagnosed with septicemia, orbital cellulitis, and orbital apex syndrome in the right eye. Intravenous antibiotics were administered; paracentesis of the orbital abscess was performed under local anesthesia. However, the patient's condition worsened, resulting in a complete loss of light perception in the right eye. Accordingly, surgery was performed under general anesthesia within 24 hours of admission; the surgery involved drainage of the orbital abscess through an inferior intraorbital incision, as well as drainage of the ethmoid sinus and maxillary sinus abscesses via nasal endoscopy. A culture obtained from the orbital abscess yielded S. constellatus . The infection was managed by a combination of surgical intervention, antibiotics, steroids, and hyperbaric oxygen therapy. However, because of optic nerve injury, vision in the affected eye partially recovered to 20/200.
Conclusions: Streptococcus constellatus -induced pediatric orbital cellulitis can result in significant morbidity. The significant improvement in vision, from no light perception to 20/200, emphasizes the importance of timely diagnosis and treatment in patients who present with acute orbital cellulitis and vision loss symptoms.
Competing Interests: Conflict of Interest Disclosure: None of the authors have reported a financial conflict of interest.
(Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Optometry.)
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المشرفين على المادة: 0 (Anti-Bacterial Agents)
تواريخ الأحداث: Date Created: 20230828 Date Completed: 20231127 Latest Revision: 20231127
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10662613
DOI: 10.1097/OPX.0000000000002062
PMID: 37639550
قاعدة البيانات: MEDLINE
الوصف
تدمد:1538-9235
DOI:10.1097/OPX.0000000000002062