WordNet

an inflammation of body tissue (especially that below the skin) characterized by fever and swelling and redness and pain

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/10/20 09:35:03」(JST)

wiki en

Periorbital cellulitis, also known as preseptal cellulitis (and not to be confused with orbital cellulitis, which is behind the septum), is an inflammation and infection of the eyelid and portions of skin around the eye,^[1] anterior to the orbital septum. It may be caused by breaks in the skin around the eye, and subsequent spread to the eyelid; infection of the sinuses around the nose (sinusitis); or from spread of an infection elsewhere through the blood.

Signs and symptoms

Periorbital cellulitis must be differentiated from orbital cellulitis, which is an emergency and requires intravenous (IV) antibiotics. In contrast to orbital cellulitis, patients with periorbital cellulitis do not have bulging of the eye (proptosis), limited eye movement (ophthalmoplegia), pain on eye movement, or loss of vision. If any of these features is present, one must assume that the patient has orbital cellulitis and begin treatment with IV antibiotics. CT scan may be done to delineate the extension of the infection.

Affected individuals may experience the following; swelling, redness, discharge, pain, shut eye, conjunctival injection, fever (mild), slightly blurred vision, teary eyes, and some reduction in vision.

Typical signs include periorbital erythema, induration, tenderness and warmth.^[2]

Causes

Staphylococcus and streptococcus bacteria are commonly implicated.

The advent of the Haemophilus influenzae vaccine has dramatically decreased the incidence.^[3] Spider or other insect bites can also be causal.

Treatment

Antibiotics are aimed at gram positive bacteria. Warm to hot compresses help with pain and inflammation. Medical attention should be sought if symptoms persist beyond 2–3 days.

References

^ http://www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI=/healthatoz/Atoz/ency/orbital_and_periorbital_cellulitis.jsp
^ Givner, Laurence B. (1 December 2002). "Periorbital versus orbital cellulitis". The Pediatric Infectious Disease Journal 21 (12): 1157–1158. doi:10.1097/00006454-200212000-00014. PMID 12488668.
^ Donahue S, Schwartz G (1998). "Preseptal and orbital cellulitis in childhood. A changing microbiologic spectrum". Ophthalmology 105 (10): 1902–5; discussion 1905–6. doi:10.1016/S0161-6420(98)91038-7. PMID 9787362.

External links

Merck

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 眼窩隔膜前蜂巣炎 preseptal cellulitis
2. 眼窩蜂巣炎 orbital cellulitis
3. モラクセラ・カタラーリス感染 moraxella catarrhalis infections
4. 鼻腔内異物の診断およびマネージメント diagnosis and management of intranasal foreign bodies
5. 小児における急性細菌性鼻副鼻腔炎：臨床的特徴および診断 acute bacterial rhinosinusitis in children clinical features and diagnosis

English Journal

Ethmoid osteoma as a culprit of orbital emphysema: a case report.

Zhuang A1, Li Y, Lin M, Shi W, Fan X.
Medicine.Medicine (Baltimore).2015 May;94(18):e724. doi: 10.1097/MD.0000000000000724.
Orbital emphysema is generally recognized as a complication of orbital fractures involving any paranasal sinuses. The recognition about its etiology has extended beyond sole trauma, but few articles mentioned tumors to be a possible cause.In this case report, we present a patient with orbital emphys
PMID 25950683

Orbital cellulitis with periorbital abscess secondary to methicillin-resistant Staphylococcus aureus (MRSA) sepsis in an immunocompetent neonate.

Rao LG1, Rao K1, Bhandary S1, Shetty PR1.
BMJ case reports.BMJ Case Rep.2015 Apr 21;2015. pii: bcr2014209183. doi: 10.1136/bcr-2014-209183.
This article advocates the need for early incision and drainage of periorbital abscesses. We report a case of a 1.5-month-old neonate with orbital cellulitis and periorbital abscess, which had rapidly developed over a period of 3 days. Treatment history revealed methicillin-resistant Staphylococcus
PMID 25899513

Pediatric orbital cellulitis in the Haemophilus influenzae vaccine era.

Sharma A1, Liu ES2, Le TD3, Adatia FA4, Buncic JR5, Blaser S6, Richardson S7.
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus.J AAPOS.2015 Apr 18. pii: S1091-8531(15)00088-9. doi: 10.1016/j.jaapos.2015.02.004. [Epub ahead of print]
PURPOSE: 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.METHODS: The medical records of all pediatrics patients (aged <18 years) at a tertiary pediatric
PMID 25900771

Japanese Journal

眼窩および鼻副鼻腔に発生した IgG4 関連疾患の1例

倉島彩子,浅香大也,大櫛哲史,飯田誠,鴻信義
耳鼻咽喉科展望 57(3), 151-156, 2014
　眼窩および鼻副鼻腔に発生した IgG4 関連疾患の1例を報告する。症例は54歳男性で, 慢性副鼻腔炎の診断にて近医耳鼻咽喉科で内視鏡下鼻内手術を4回施行された。しかし, 鼻症状が改善せず, さらに左眼球突出を認めるようになり, 慢性副鼻腔炎の再発および眼窩蜂窩織炎の診断にて手術目的で当院を紹介受診となった。副鼻腔造影 CT 検査において両側篩骨洞に軟部濃度陰影と眼窩紙様板の骨欠損, 眼窩 …
NAID 130005075990

小児における眼窩周囲蜂窩織炎と眼窩蜂窩織炎の比較検討

岸本健治,田村卓也,春田恒和
日本小児科学会雑誌 117(6), 996-1001, 2013-06-01
NAID 10031184012

小児における眼窩周囲蜂窩織炎と眼窩蜂窩織炎の比較検討

岸本健治,田村卓也,春田恒和
日本小児科学会雑誌 = The journal of the Japan Pediatric Society 117(6), 996-1001, 2013-06
NAID 40019712693

Related Pictures

★リンクテーブル★

リンク元	「眼窩周囲蜂巣炎」
関連記事	「periorbital」

「眼窩周囲蜂巣炎」

Periorbital cellulitis
	Classification and external resources
	Periorbital cellulitis caused by a dental infection (also causing maxillary sinusitis)
ICD-10	H05.0, L01.1
ICD-9	373.13
DiseasesDB	31304
MedlinePlus	000976
eMedicine	emerg/415 oph/206

　　[★]

英: periorbital cellulitis

「periorbital」

　　[★]

adj

眼周囲の

関: periocular

[1] ttp://www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI=/healthatoz/Atoz/ency/orbital_and_periorbital_cellulitis.jsp

[pmid12488668-2] Givner, Laurence B. (1 December 2002). "Periorbital versus orbital cellulitis". The Pediatric Infectious Disease Journal 21 (12): 1157–1158. doi:10.1097/00006454-200212000-00014. PMID 12488668.

[3] Donahue S, Schwartz G (1998). "Preseptal and orbital cellulitis in childhood. A changing microbiologic spectrum". Ophthalmology 105 (10): 1902–5; discussion 1905–6. doi:10.1016/S0161-6420(98)91038-7. PMID 9787362.

匿名

検索

案内

案内

periorbital cellulitis