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Preseptal Cellulitis

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21. Orbital Cellulitis

and orbits with IV Contrast (preferred in most cases) or MRI sinuses and orbits Indications: Distinguish preseptal from Orbital Cellulitis (and evaluate sinus involvement) Change in Decreased s Eye not able to be examined (e.g. due to local ) VII. Differential Diagnosis Orbital pseudotumor Other tumors Neurofibroma Glioma of the Dermoid cyst Lymphangioma Wilms tumor VIII. Management ral Observe in hospital with at least daily and Repeat CT sinuses/orbits if not improved in 48 hours Antibiotics course: 7 (...) Orbital Cellulitis Orbital Cellulitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Orbital Cellulitis Orbital Cellulitis Aka

2018 FP Notebook

22. Preseptal and Orbital Cellulitis

Preseptal and Orbital Cellulitis Preseptal and Orbital Cellulitis - Eye Disorders - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your knowledge (...) to Irrigate the Eye SOCIAL MEDIA Add to Any Platform Loading , MD, Mayo Clinic College of Medicine Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources Preseptal cellulitis (periorbital cellulitis) is infection of the eyelid and surrounding skin anterior to the orbital septum. Orbital cellulitis is infection of the orbital tissues posterior to the orbital septum. Either can be caused by an external focus of infection (eg, a wound), infection that extends from

2013 Merck Manual (19th Edition)

23. Pediatric orbital cellulitis in the Haemophilus influenzae vaccine era. (PubMed)

cellulitis," "preseptal cellulitis," or "post-septal cellulitis" were retrospectively reviewed. The records, microbiology, and radiology of these patients were reviewed to assess the rates and complications of H. influenzae orbital cellulitis, including bacteremia and meningitis.A total of 149 patients were diagnosed with preseptal or orbital cellulitis, of whom 101 (mean age, 7.2 ± 4.0) had true orbital cellulitis. No patients grew H. influenzae from blood cultures. Of the 101 patients, 30 (29.7 (...) Pediatric orbital cellulitis in the Haemophilus influenzae vaccine era. To evaluate the microbiology of pediatric orbital cellulitis in blood cultures and abscess drainage cultures following the introduction of the Haemophilus influenzae serotype b (Hib) vaccine.The medical records of all pediatrics patients (aged <18 years) at a tertiary pediatric hospital during the period January 2000 to July 2011 with a computed tomography orbital imaging querying "orbital cellulitis," "periorbital

2015 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

24. Cellulitis (Diagnosis)

or beta-lactam/beta-lactamase inhibitor (eg, ampicillin/sulbactam) or fluoroquinolone plus metronidazole or carbapenem (ertapenem) Preseptal (periorbital) cellulitis Haemophilus influenzae type b, Streptococcus pneumoniae , S aureus , other streptococcal species, and anaerobes Nocardia brasiliensis, Bacillus anthracis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Proteus species, Pasteurella multocida , Mycobacterium tuberculosis Largest study indicates that H influenzae type b and S pneumoniae (...) Cellulitis (Diagnosis) Cellulitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLW92ZXJ2aWV3 processing > Cellulitis Updated: Oct 05, 2018 Author: Thomas

2014 eMedicine.com

25. Cellulitis, Orbital (Diagnosis)

Author: John N Harrington, MD, FACS; Chief Editor: Edsel Ing, MD, MPH, FRCSC Share Email Print Feedback Close Sections Sections Orbital Cellulitis Overview Background Orbital cellulitis and are the major infections of the ocular adnexal and orbital tissues. Orbital cellulitis is an infection of the soft tissues of the orbit posterior to the orbital septum. Preseptal cellulitis is an infection of the soft tissue of the eyelids and periocular region anterior to the orbital septum. (See Presentation (...) .) Orbital cellulitis and preseptal cellulitis can sometimes be a continuum. Orbital has various causes and may be associated with serious complications. As many as 11% of cases of orbital cellulitis result in visual loss. Prompt diagnosis and proper management are essential for curing the patient with orbital cellulitis (see the images below). (See Etiology, Prognosis, Presentation, Workup, Treatment, and Medication.) A male patient with orbital cellulitis with proptosis, ophthalmoplegia, and edema

2014 eMedicine.com

26. Cellulitis (Diagnosis)

or beta-lactam/beta-lactamase inhibitor (eg, ampicillin/sulbactam) or fluoroquinolone plus metronidazole or carbapenem (ertapenem) Preseptal (periorbital) cellulitis Haemophilus influenzae type b, Streptococcus pneumoniae , S aureus , other streptococcal species, and anaerobes Nocardia brasiliensis, Bacillus anthracis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Proteus species, Pasteurella multocida , Mycobacterium tuberculosis Largest study indicates that H influenzae type b and S pneumoniae (...) Cellulitis (Diagnosis) Cellulitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLW92ZXJ2aWV3 processing > Cellulitis Updated: Oct 05, 2018 Author: Thomas

2014 eMedicine.com

27. Cellulitis (Treatment)

Cellulitis (Treatment) Cellulitis Treatment & Management: Approach Considerations, Outpatient Care, IV Antibiotic Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLXRyZWF0bWVudA== processing (...) > Cellulitis Treatment & Management Updated: Oct 05, 2018 Author: Thomas E Herchline, MD; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Cellulitis Treatment Approach Considerations Antibiotic regimens are effective in more than 90% of patients. However, all but the smallest of abscesses require drainage for resolution, regardless of the microbiology of the infection. In many instances, if the abscess is relatively isolated, with little surrounding tissue

2014 eMedicine.com

28. Cellulitis, Orbital (Treatment)

treatment of conditions that may precipitate orbital cellulitis (eg, preseptal cellulitis, sinusitis, dental disease) is the best deterrent. Diet No special dietary requirements are indicated other than adequate hydration of the patient. Follow-up Patients with severe orbital cellulitis often follow a protracted course, and repeat surgery may be required. Patients are ideally monitored by an ophthalmologist, ENT specialist, and infectious disease specialist until symptoms, fever, WBC count, and imaging (...) to antibiotic therapy, craniotomy is indicated. The presence of a drainable fluid collection is evident on CT scan in patients older than 16 years Previous References Anari S, Karagama YG, Fulton B, et al. Neonatal disseminated methicillin-resistant Staphylococcus aureus presenting as orbital cellulitis. J Laryngol Otol . 2005 Jan. 119(1):64-7. . Babar TF, Zaman M, Khan MN, Khan MD. Risk factors of preseptal and orbital cellulitis. J Coll Physicians Surg Pak . 2009 Jan. 19(1):39-42. . Bergin DJ, Wright JE

2014 eMedicine.com

29. Cellulitis (Treatment)

Cellulitis (Treatment) Cellulitis Treatment & Management: Approach Considerations, Outpatient Care, IV Antibiotic Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLXRyZWF0bWVudA== processing (...) > Cellulitis Treatment & Management Updated: Oct 05, 2018 Author: Thomas E Herchline, MD; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Cellulitis Treatment Approach Considerations Antibiotic regimens are effective in more than 90% of patients. However, all but the smallest of abscesses require drainage for resolution, regardless of the microbiology of the infection. In many instances, if the abscess is relatively isolated, with little surrounding tissue

2014 eMedicine.com

30. Cellulitis, Orbital (Overview)

Author: John N Harrington, MD, FACS; Chief Editor: Edsel Ing, MD, MPH, FRCSC Share Email Print Feedback Close Sections Sections Orbital Cellulitis Overview Background Orbital cellulitis and are the major infections of the ocular adnexal and orbital tissues. Orbital cellulitis is an infection of the soft tissues of the orbit posterior to the orbital septum. Preseptal cellulitis is an infection of the soft tissue of the eyelids and periocular region anterior to the orbital septum. (See Presentation (...) .) Orbital cellulitis and preseptal cellulitis can sometimes be a continuum. Orbital has various causes and may be associated with serious complications. As many as 11% of cases of orbital cellulitis result in visual loss. Prompt diagnosis and proper management are essential for curing the patient with orbital cellulitis (see the images below). (See Etiology, Prognosis, Presentation, Workup, Treatment, and Medication.) A male patient with orbital cellulitis with proptosis, ophthalmoplegia, and edema

2014 eMedicine.com

31. Cellulitis (Overview)

or beta-lactam/beta-lactamase inhibitor (eg, ampicillin/sulbactam) or fluoroquinolone plus metronidazole or carbapenem (ertapenem) Preseptal (periorbital) cellulitis Haemophilus influenzae type b, Streptococcus pneumoniae , S aureus , other streptococcal species, and anaerobes Nocardia brasiliensis, Bacillus anthracis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Proteus species, Pasteurella multocida , Mycobacterium tuberculosis Largest study indicates that H influenzae type b and S pneumoniae (...) Cellulitis (Overview) Cellulitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLW92ZXJ2aWV3 processing > Cellulitis Updated: Oct 05, 2018 Author: Thomas E

2014 eMedicine.com

32. Cellulitis (Overview)

or beta-lactam/beta-lactamase inhibitor (eg, ampicillin/sulbactam) or fluoroquinolone plus metronidazole or carbapenem (ertapenem) Preseptal (periorbital) cellulitis Haemophilus influenzae type b, Streptococcus pneumoniae , S aureus , other streptococcal species, and anaerobes Nocardia brasiliensis, Bacillus anthracis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Proteus species, Pasteurella multocida , Mycobacterium tuberculosis Largest study indicates that H influenzae type b and S pneumoniae (...) Cellulitis (Overview) Cellulitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLW92ZXJ2aWV3 processing > Cellulitis Updated: Oct 05, 2018 Author: Thomas E

2014 eMedicine.com

33. Cellulitis (Follow-up)

Cellulitis (Follow-up) Cellulitis Treatment & Management: Approach Considerations, Outpatient Care, IV Antibiotic Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLXRyZWF0bWVudA== processing (...) > Cellulitis Treatment & Management Updated: Oct 05, 2018 Author: Thomas E Herchline, MD; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Cellulitis Treatment Approach Considerations Antibiotic regimens are effective in more than 90% of patients. However, all but the smallest of abscesses require drainage for resolution, regardless of the microbiology of the infection. In many instances, if the abscess is relatively isolated, with little surrounding tissue

2014 eMedicine.com

34. Cellulitis (Follow-up)

Cellulitis (Follow-up) Cellulitis Treatment & Management: Approach Considerations, Outpatient Care, IV Antibiotic Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLXRyZWF0bWVudA== processing (...) > Cellulitis Treatment & Management Updated: Oct 05, 2018 Author: Thomas E Herchline, MD; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Cellulitis Treatment Approach Considerations Antibiotic regimens are effective in more than 90% of patients. However, all but the smallest of abscesses require drainage for resolution, regardless of the microbiology of the infection. In many instances, if the abscess is relatively isolated, with little surrounding tissue

2014 eMedicine.com

35. Cellulitis, Orbital (Follow-up)

treatment of conditions that may precipitate orbital cellulitis (eg, preseptal cellulitis, sinusitis, dental disease) is the best deterrent. Diet No special dietary requirements are indicated other than adequate hydration of the patient. Follow-up Patients with severe orbital cellulitis often follow a protracted course, and repeat surgery may be required. Patients are ideally monitored by an ophthalmologist, ENT specialist, and infectious disease specialist until symptoms, fever, WBC count, and imaging (...) to antibiotic therapy, craniotomy is indicated. The presence of a drainable fluid collection is evident on CT scan in patients older than 16 years Previous References Anari S, Karagama YG, Fulton B, et al. Neonatal disseminated methicillin-resistant Staphylococcus aureus presenting as orbital cellulitis. J Laryngol Otol . 2005 Jan. 119(1):64-7. . Babar TF, Zaman M, Khan MN, Khan MD. Risk factors of preseptal and orbital cellulitis. J Coll Physicians Surg Pak . 2009 Jan. 19(1):39-42. . Bergin DJ, Wright JE

2014 eMedicine.com

36. Cellulitis (Follow-up)

Cellulitis (Follow-up) Cellulitis Treatment & Management: Approach Considerations, Outpatient Care, IV Antibiotic Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLXRyZWF0bWVudA== processing (...) > Cellulitis Treatment & Management Updated: Oct 05, 2018 Author: Thomas E Herchline, MD; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Cellulitis Treatment Approach Considerations Antibiotic regimens are effective in more than 90% of patients. However, all but the smallest of abscesses require drainage for resolution, regardless of the microbiology of the infection. In many instances, if the abscess is relatively isolated, with little surrounding tissue

2014 eMedicine Emergency Medicine

37. Cellulitis (Overview)

or beta-lactam/beta-lactamase inhibitor (eg, ampicillin/sulbactam) or fluoroquinolone plus metronidazole or carbapenem (ertapenem) Preseptal (periorbital) cellulitis Haemophilus influenzae type b, Streptococcus pneumoniae , S aureus , other streptococcal species, and anaerobes Nocardia brasiliensis, Bacillus anthracis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Proteus species, Pasteurella multocida , Mycobacterium tuberculosis Largest study indicates that H influenzae type b and S pneumoniae (...) Cellulitis (Overview) Cellulitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLW92ZXJ2aWV3 processing > Cellulitis Updated: Oct 05, 2018 Author: Thomas E

2014 eMedicine Emergency Medicine

38. Cellulitis (Treatment)

Cellulitis (Treatment) Cellulitis Treatment & Management: Approach Considerations, Outpatient Care, IV Antibiotic Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLXRyZWF0bWVudA== processing (...) > Cellulitis Treatment & Management Updated: Oct 05, 2018 Author: Thomas E Herchline, MD; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Cellulitis Treatment Approach Considerations Antibiotic regimens are effective in more than 90% of patients. However, all but the smallest of abscesses require drainage for resolution, regardless of the microbiology of the infection. In many instances, if the abscess is relatively isolated, with little surrounding tissue

2014 eMedicine Emergency Medicine

39. Cellulitis (Diagnosis)

or beta-lactam/beta-lactamase inhibitor (eg, ampicillin/sulbactam) or fluoroquinolone plus metronidazole or carbapenem (ertapenem) Preseptal (periorbital) cellulitis Haemophilus influenzae type b, Streptococcus pneumoniae , S aureus , other streptococcal species, and anaerobes Nocardia brasiliensis, Bacillus anthracis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Proteus species, Pasteurella multocida , Mycobacterium tuberculosis Largest study indicates that H influenzae type b and S pneumoniae (...) Cellulitis (Diagnosis) Cellulitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE0MjIyLW92ZXJ2aWV3 processing > Cellulitis Updated: Oct 05, 2018 Author: Thomas

2014 eMedicine Emergency Medicine

40. Understanding Pediatric Bacterial Preseptal and Orbital Cellulitis (PubMed)

Understanding Pediatric Bacterial Preseptal and Orbital Cellulitis Pediatric preseptal and orbital cellulitis are infectious disorders that result in periorbital inflammation. Preseptal cellulitis is often associated with breaches in the skin barrier whereas orbital cellulitis is commonly associated with paranasal sinusitis. Orbital cellulitis may be associated with subperiosteal abscess. It is important to distinguish between preseptal from orbital cellulitis. Clinical examination

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2010 Middle East African journal of ophthalmology

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