preseptal cellulitis

WordNet

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

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2022/11/30 19:17:11」(JST)

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Periorbital cellulitis
Other names	Preseptal cellulitis
Periorbital cellulitis caused by a dental infection (also causing maxillary sinusitis)
Specialty	Ophthalmology

Periorbital cellulitis, or preseptal cellulitis (not to be confused with orbital cellulitis, which is posterior to the orbital septum), is an inflammation and infection of the eyelid and portions of skin around the eye 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: swelling,

redness, discharge, pain, shut eye, conjunctival infection, fever (mild), slightly blurred vision, teary eyes, and some reduction in vision.

Typical signs include periorbital erythema, induration, tenderness and warmth.

Causes

Staphylococcus aureus, Streptococcus pneumoniae, other streptococci, and anaerobes are the most common causes, depending on the origin of the infection.

The advent of the Haemophilus influenzae vaccine has dramatically decreased the incidence.

Diagnosis

Tests include blood work (CBC) to rule out infectious cause. Also perform a CT scan, x ray of the anterior skull to view the sinuses, MRI scan and finally a soft tissue ultrasound of the orbital region.

Treatment

Antibiotics are aimed at gram positive bacteria. Medical attention should be sought if symptoms persist beyond 2–3 days.

There is inadequate evidence to draw conclusions about the adjunctive corticosteroid therapy in the treatment of periorbital cellulitis. More research is needed to inform decision making.

See also

• Orbital cellulitis
• Cellulitis

UpToDate Contents

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• 1. 眼窩隔膜前蜂巣炎 preseptal cellulitis
• 2. 眼窩蜂巣炎 orbital cellulitis
• 3. 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
• 4. シャガス病：急性と先天性のクルーズトリパノソーマ感染症 chagas disease acute and congenital trypanosoma cruzi infection
• 5. 眼瞼の病変 eyelid lesions

English Journal

• Periocular Abscesses Following Brow Epilation.

• Elmann S, Blaydon S, Nakra T, Connor M, Mukhopadhyay C, Levin F, Schwarcz R, Shepler T, Shore JW, Wladis EJ, Shinder R.Source*Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York; †Texas Oculoplastic Consultants, Austin, Texas; ‡Department of Ophthalmology, Yale University School of Medicine, New Haven, Connecticut; §Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York; and ║Department of Ophthalmology, Albany Medical College, Albany, New York, U.S.A.
• Ophthalmic plastic and reconstructive surgery.Ophthal Plast Reconstr Surg.2012 Oct 3. [Epub ahead of print]
• PURPOSE:: The aim of this article was to report the clinical presentation, radiography, culture results, treatment modalities, and outcomes of periocular abscesses associated with brow epilation. METHODS:: This was a retrospective case series including 26 patients referred for periocular abscess fol
• PMID 23034690

Japanese Journal

• 全身状態の悪化を招いたStreptococcus pyogenesによる重症眼瞼部軟部組織炎の1例 (第50回 日本眼感染症学会)

• あたらしい眼科 31(4), 587-590, 2014-04
• NAID 40020072450

• 小児淋菌性眼窩隔膜前部蜂巣炎の1例 (特集 第62回日本臨床眼科学会講演集(4))

• 臨床眼科 63(6), 987-990, 2009-06
• NAID 40016710099

Related Links

• Preseptal Cellulitis: Background, Etiology, Epidemiology

Preseptal cellulitis is a common infection of the eyelid and periorbital soft tissues that is characterized by acute eyelid erythema and edema. This bacterial infection usually results from local spread of an adjacent ...

• Preseptal cellulitis - Evidence-Based Clinical Decision Support ...

Preseptal cellulitis (sometimes called periorbital cellulitis) is an infection of the anterior portion of the eyelid, not involving the orbit or other ocular structures. In contrast, orbital cellulitis is an infection involving the contents of the or

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「眼瞼蜂巣炎」

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preseptal cellulitis

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眼瞼膿瘍、蜂巣炎