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Preseptal Cellulitis

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141. Ocular vaccinia following exposure to a smallpox vaccinee. (PubMed)

cellulitis and blepharoconjunctivitis following contact with a vaccinated member of the military. The preseptal cellulitis resolved with antibacterial therapy, and the conjunctival infection was treated successfully with a 14-day course of topical trifluridine and a single dose of intravenous vaccinia immune globulin.To facilitate rapid diagnosis and appropriate treatment, clinicians must maintain a high index of suspicion for ocular smallpox vaccine-associated adverse reactions in vaccine recipients (...) Ocular vaccinia following exposure to a smallpox vaccinee. To describe the presentation and management of the first identified case of ocular vaccinia infection associated with the current smallpox vaccination program.Case report.Vaccinia virus was isolated by cell culture of a conjunctival swab. Direct staining with fluorescein isothiocyanate-labeled vaccinia antibody and polymerase chain reaction testing confirmed the diagnosis.In February 2003, a 26-year-old woman developed right preseptal

2004 American Journal of Ophthalmology

142. Complications of primary placement of motility post in porous polyethylene implants during enucleation. (PubMed)

(19%). In the early postoperative period, we recorded nine complications in seven patients (13%), which might be related to primary MCP placement. These included prominent MCP decentration associated with implant motility restriction (6%), preseptal cellulitis (4%), and conjunctival prolapsus (8%). An ocular prosthesis was fit successfully onto the MCP in 51 patients. During the late period, 22 complications occurred in 15 patients (29%), including excessive discharge (15%), MCP decentration (4

2007 American Journal of Ophthalmology

143. The treatment of congenital dacryocystocele. (PubMed)

The treatment of congenital dacryocystocele. To determine the proper management of congenital dacryocystocele.Retrospective interventional case series.Clinical practice.Twenty-seven consecutive patients with 29 congenital dacryocystoceles who presented from 1987 through 2006.The charts were reviewed for the presence and age of onset of infection, methods and age of treatment, and response to treatment.Dacryocystitis and preseptal cellulitis requiring intravenous antibiotic therapy were present (...) in 11 lacrimal systems (37.9%), and dacryocystitis without cellulitis was present in an additional 10 lacrimal systems (34.5%). One or more probings were performed in 26 patients (89.7%). Resolution with conservative therapy occurred in three lacrimal systems. The initial probing was successful in seven of seven lacrimal systems (100%) that did not have infection, but was successful in only 10 of 19 lacrimal systems (53%) that had dacryocystitis with or without cellulitis. The mean age of probing

2006 American Journal of Ophthalmology

144. Orbital sequelae of rhinosinusitis after cochlear implantation in children. (PubMed)

by periorbital edema and preseptal cellulitis necessitating prolonged hospitalization in all four children (mean length of stay, 3.3 days). Each child's orbital complication resolved with medical therapy that included intravenous antibiotics and nasal saline. Temporal bone images before implantation showed evidence of rhinosinusitis in all four cases. Of 76 available preoperative scans from the unaffected children, only 11 (14%) studies showed evidence of rhinosinusitis.Children with preoperative radiologic

2006 Laryngoscope

145. METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS INFECTIONS OF THE EYE AND ORBIT (AN AMERICAN OPHTHALMOLOGICAL SOCIETY THESIS) (PubMed)

of nosocomial patients remained fairly constant. Patients with ophthalmic MRSA tended to be younger than other MRSA patients (P = .023). The most common manifestation of ophthalmic MRSA infection was preseptal cellulitis and/or lid abscess followed by conjunctivitis, but sight-threatening infections, including corneal ulcers, endophthalmitis, orbital cellulitis, and blebitis, also occurred. Empirical antibiotic coverage was initially prescribed in 48 (98%) of ophthalmic cases and did not adequately cover (...) for the MRSA isolate in 24 (50%).CA-MRSA is becoming increasingly prevalent, and ophthalmologists will see more ophthalmic MRSA infections. Although ophthalmic CA-MRSA commonly presents as preseptal lid infection and conjunctivitis, sight-threatening infections also occur. Ophthalmologists must identify MRSA patients, adjust empirical treatment regimens where MRSA is endemic, and take steps to control emergence of resistant organisms in both inpatient and outpatient practices.

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2006 Transactions of the American Ophthalmological Society

146. Pharmacokinetics of Ampicillin and Sulbactam in Pediatric Patients (PubMed)

Pharmacokinetics of Ampicillin and Sulbactam in Pediatric Patients Intravenous ampicillin-sulbactam is effective in the treatment of various infections in adults, but little is known about the pharmacokinetics (PK) of ampicillin-sulbactam in children. The objective of this study was to determine the PK of ampicillin and sulbactam in pediatric patients with intra-abdominal infection, skin and/or skin structure infection, or periorbital-preseptal and facial cellulitis. Intravenous ampicillin

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1999 Antimicrobial Agents and Chemotherapy

147. Eyelid swelling and erythema as the only signs of subperiosteal abscess. (PubMed)

Eyelid swelling and erythema as the only signs of subperiosteal abscess. On clinical grounds it is usually easy to distinguish between preseptal cellulitis, a cutaneous infection not threatening to vision, and orbital cellulitis, a potentially vision threatening infection of the orbital tissues generally arising from paranasal sinusitis. We recently cared for two patients with a clinical diagnosis of preseptal cellulitis who had CT scan evidence of subperiosteal abscess. Antibiotic therapy

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1989 The British journal of ophthalmology

148. Chlamydial conjunctivitis presenting as pre septal cellulitis (PubMed)

Chlamydial conjunctivitis presenting as pre septal cellulitis Chlamydia conjuctivitis results from infection by chlamydia trachomatis, the commonest treatable sexually transmitted infection in Europe. Its clinical manifestations involve the conjunctiva and the cornea. The inflammation under the upper eyelid may be sufficient to present as ptosis, however previously it has not been documented to cause a preseptal cellulitis. We present such a case. A 15-year-old girl was diagnosed with a left (...) viral conjunctivitis. Five days later, she returned with marked oedema of the left upper and lower lids accompanied by erythema. The tarsal conjunctiva revealed follicles and large papillae and extra ocular movements revealed discomfort on elevation. A secondary diagnosis of bacterial pre septal cellulitis was made and the treatment was changed a broad spectrum oral antibiotic. On review at two days, the patient now complained of a large amount of purulent discharge in association with the marked

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2007 Head & face medicine

149. Should a child with preseptal periorbital cellulitis be treated with intravenous or oral antibiotics?

Should a child with preseptal periorbital cellulitis be treated with intravenous or oral antibiotics? BestBets: Should a child with preseptal periorbital cellulitis be treated with intravenous or oral antibiotics? Should a child with preseptal periorbital cellulitis be treated with intravenous or oral antibiotics? Report By: Shafic Al-Nammari - Junior Clinical Research Fellow Search checked by Benjamin Roberton / Craig Ferguson - Institution: Moorfields Eye Hospital & St George's Hospital Date (...) Submitted: 17th March 2004 Date Completed: 29th January 2007 Last Modified: 6th December 2006 Status: Green (complete) Three Part Question In [a child with preseptal periorbital cellulitis] are [intravenous antibiotics better than oral antibiotics] at [decreasing the time to recovery and preventing secondary complications]? Clinical Scenario A 5-year-old boy presents to the emergency department with the signs and symptoms of uncomplicated preseptal periorbital cellulitis. There is no obvious precipitant

2007 BestBETS

150. Orbital cellulitis demands early recognition, urgent admission and aggressive management. (PubMed)

Orbital cellulitis demands early recognition, urgent admission and aggressive management. Orbital cellulitis is an emergency. Confusion still exists between the diagnosis of this serious condition and that of preseptal cellulitis. Delay in treatment may cause blindness and progression to life-threatening sequelae such as brain abscess, meningitis or cavernous sinus thrombosis. We report a case in which, despite late referral, emergency surgical intervention was sight saving.

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1995 Journal of accident & emergency medicine

151. Retinoblastoma associated orbital cellulitis (PubMed)

Retinoblastoma associated orbital cellulitis Preseptal and orbital cellulitis are rare presenting features of intraocular retinoblastoma. The objectives of this study were to determine the frequency of retinoblastoma associated cellulitis, as well as to review its clinical and histopathological features.The medical records of 292 retinoblastoma patients in the King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia were reviewed. Those indicating a history of, or presenting with, cellulitis (...) were retrieved and their clinical, radiological, and histopathological variables were assessed. Patients with definite extraocular tumour extension on clinical or radiological examination were excluded.14 patients were found to have retinoblastoma associated cellulitis (4.8%); nine had bilateral and five had unilateral retinoblastoma. Conjunctival and blood cultures were performed in 10 cases and were negative. 10 children were treated with intravenous steroids, often in conjunction

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1998 The British journal of ophthalmology

152. Should a child with preseptal periorbital cellulitis be treated with intravenous or oral antibiotics? (PubMed)

Should a child with preseptal periorbital cellulitis be treated with intravenous or oral antibiotics? 17251626 2007 02 08 2018 11 13 1472-0213 24 2 2007 Feb Emergency medicine journal : EMJ Emerg Med J Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Should a child with preseptal periorbital cellulitis be treated with intravenous or oral antibiotics? 128-9 Al-Nammari Shafic S Moorfields Eye Hospital. Roberton Benjamin B Ferguson Craig C eng Journal (...) Article England Emerg Med J 100963089 1472-0205 0 Anti-Bacterial Agents IM Administration, Oral Anti-Bacterial Agents administration & dosage Cellulitis drug therapy Child Child, Preschool Humans Infusions, Intravenous Orbital Diseases drug therapy 2007 1 26 9 0 2007 2 9 9 0 2007 1 26 9 0 ppublish 17251626 24/2/128 10.1136/emj.2006.045245 PMC2658193 J AAPOS. 2003 Dec;7(6):413-7 14730294

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2007 Emergency Medicine Journal : EMJ

153. Tubercular preseptal cellulitis in children: a presenting feature of underlying systemic tuberculosis. (PubMed)

Tubercular preseptal cellulitis in children: a presenting feature of underlying systemic tuberculosis. To present the clinical findings in 7 patients with preseptal cellulitis caused by tuberculosis.Retrospective noncomparative interventional case series.Seven patients.Review of clinical findings, course, diagnostic tools, and management of 7 cases with tubercular preseptal cellulitis.Healing of local and systemic lesions, cosmetic correction.The presenting features of tuberculosis included lid

2004 Ophthalmology

154. Preseptal cellulitis due to Mycobacterium marinum. (PubMed)

Preseptal cellulitis due to Mycobacterium marinum. Mycobacterium marinum is an atypical mycobacterium found in both salt and fresh water. It occasionally causes soft tissue infections after minor trauma, principally affecting the limbs. A 17-year-old male aquarium worker presented with preseptal cellulitis of his right eye, after attempting to lance a hordeolum some days previously. The condition failed to respond to antibiotics and a necrotic area developed, which subsequently required

2007 Journal of Laryngology & Otology

155. Development of a clinical severity score for preseptal cellulitis in children. (PubMed)

Development of a clinical severity score for preseptal cellulitis in children. There is a need for a valid and reliable method to describe the severity of preseptal cellulitis.Items of a scoring system were derived by an expert group and evaluated using a retrospective chart review. The results were used to construct the final Severity Index. Validity and reliability of the Severity Index was evaluated by prospective assessment of 17 children. The Severity Index was compared with a Global Score (...) , a score based on clinical impression.The average Severity Index score was 2.0 for patients treated with oral antibiotics alone and 6.0 for patients treated with intravenous antibiotics. The Severity Index correlated well with the Global Score (Spearman rank correlation coefficient rS = 0.60, P = 0.01). Ranked clinical photographs of preseptal cellulitis correlated moderately to the Severity Index (rS = 0.66, P = 0.02). The Severity Index score after 24 hours of treatment was significantly lower than

2003 Pediatric Emergency Care

156. Intracranial infection associated with preseptal and orbital cellulitis in the pediatric patient. (PubMed)

Intracranial infection associated with preseptal and orbital cellulitis in the pediatric patient. To identify risk factors in children admitted with preseptal or orbital cellulitis with associated intracranial infection.A retrospective chart review identified 10 patients (< or = 18 years) with a diagnosis of preseptal or orbital cellulitis and a concurrent or subsequent diagnosis of intracranial infection.Diagnoses confirmed by imaging included sinusitis (n = 10), preseptal cellulitis (n = 4 (...) bacterial pathogens. All patients required both medical and surgical therapy; all 10 patients underwent sinus surgery; 8 patients required neurosurgical craniotomy; and 5 patients underwent orbital surgery. There were no deaths.Intracranial involvement should be suspected in any patient age > or = 7 years with preseptal or orbital cellulitis associated with orbital subperiosteal abscess, Pott's puffy tumor, concurrent sinusitis, complaints of headache, and continuing fever despite intravenous

2003 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

157. Severe pseudo-preseptal cellulitis following sub-Tenon's carboplatin injection for intraocular retinoblastoma. (PubMed)

Severe pseudo-preseptal cellulitis following sub-Tenon's carboplatin injection for intraocular retinoblastoma. Sub-Tenon or subconjunctival administration of carboplatin is used to consolidate tumor regression by achieving high intraocular concentrations, without incurring systemic toxicity, in selected patients with intraocular retinoblastoma. Mild transient periocular edema is a common side effect of this treatment. We describe four patients with severe local soft-tissue toxic reaction (...) mimicking preseptal cellulitis following subtenon carboplatin injections. The development of this complication after injecting through the inferior conjunctiva and unexpectedly severe signs are the unusual features of these patients. We did not encounter this complication after injections through the superior conjunctiva in 22 other patients using the same technique and identical drug dosage.

2007 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

158. Preseptal cellulitis caused by community acquired methicillin resistant Staphylococcus aureus (CAMRSA) (PubMed)

Preseptal cellulitis caused by community acquired methicillin resistant Staphylococcus aureus (CAMRSA) 18024828 2007 12 06 2018 11 13 1468-2079 91 12 2007 Dec The British journal of ophthalmology Br J Ophthalmol Preseptal cellulitis caused by community acquired methicillin resistant Staphylococcus aureus (CAMRSA). 1723-4 Charalampidou Sofia S Ophthalmology Department, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. sonia_charalampidou@yahoo.co.uk Connell Paul P (...) Drug Therapy, Combination Football Humans Linezolid Male Methicillin Resistance Ophthalmic Solutions Orbital Cellulitis microbiology pathology Oxazolidinones administration & dosage therapeutic use Staphylococcal Infections drug therapy physiopathology Staphylococcus aureus pathogenicity Vancomycin administration & dosage therapeutic use 2007 11 21 9 0 2007 12 7 9 0 2007 11 21 9 0 ppublish 18024828 91/12/1723 10.1136/bjo.2007.117846 PMC2095548 Emerg Infect Dis. 2006 Oct;12(10):1584-6 17176578 N

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2007 The British journal of ophthalmology

159. Strategies for the initial management of acute preseptal and orbital cellulitis. (PubMed)

Strategies for the initial management of acute preseptal and orbital cellulitis. 2979034 1989 06 30 2018 11 13 0065-9533 86 1988 Transactions of the American Ophthalmological Society Trans Am Ophthalmol Soc Strategies for the initial management of acute preseptal and orbital cellulitis. 94-108; discussion 108-12 Jones D B DB Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas. Steinkuller P G PG eng Journal Article Research Support, Non-U.S. Gov't (...) United States Trans Am Ophthalmol Soc 7506106 0065-9533 IM Algorithms Cellulitis diagnosis therapy Dermatitis complications Eyelid Diseases diagnosis therapy Humans Mucormycosis complications Orbital Diseases diagnosis therapy Postoperative Complications Sinusitis complications Wounds and Injuries complications 1988 1 1 1988 1 1 0 1 1988 1 1 0 0 ppublish 2979034 PMC1298803 J Immunol. 1971 Oct;107(4):1081-9 5315273 Ophthal Plast Reconstr Surg. 1987;3(1):1-7 3154568 Laryngoscope. 1982 Jul;92(7 Pt 1

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1988 Transactions of the American Ophthalmological Society

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