Orbital Complication in the Setting of Cocaine Use: A Case Report and Review of Literature.

IF 1.2 4区 医学 Q3 OPHTHALMOLOGY
Calvin W Wong, Michael Y Zhao, John J McDermott, Debora H Lee, Timothy J McCulley, Ying Chen
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引用次数: 0

Abstract

Orbital cellulitis is a common ophthalmologic consultation and has numerous risk factors; however, one that is seldomly encountered is chronic cocaine use. We describe a case of a 63-year-old man with a history of HIV and cocaine use who presented with OD pain, proptosis, and blurred vision. CT imaging revealed extensive erosions throughout the nasal septum, bilateral turbinates, ethmoid sinuses, and loss of the right medial orbital wall. The patient was treated empirically with broad-spectrum antibiotics, and a nasal biopsy and culture grew Staphylococcus aureus. After treatment with IV antibiotics, the patient's visual acuity returned to baseline with resolution of extraocular motility limitations. Although nasal erosions are a well-described sequela of cocaine use, full-thickness osseous defects of the orbital wall are rare and represent late-stage complications of cocaine-induced destructive midline lesions. Orbital cellulitis is a very rare complication in the setting of cocaine-induced destructive midline lesions. Clinicians should be aware of the link between cocaine use, rhino-orbital abnormalities, and orbital cellulitis.

使用可卡因导致的眼眶并发症:病例报告和文献综述。
眼眶蜂窝织炎是眼科常见病,有许多危险因素,但长期吸食可卡因是很少遇到的因素之一。我们描述了一例 63 岁的男性病例,他有艾滋病和可卡因使用史,因眼眶疼痛、突眼和视力模糊而就诊。CT 成像显示整个鼻中隔、双侧鼻甲、乙状窦广泛侵蚀,右侧内侧眶壁缺损。患者接受了广谱抗生素的经验性治疗,鼻腔活检和培养发现了金黄色葡萄球菌。在接受静脉注射抗生素治疗后,患者的视力恢复到基线水平,眼球外运动受限症状也得到缓解。虽然鼻腔糜烂是使用可卡因的后遗症之一,但眼眶壁的全厚骨质缺损却十分罕见,是可卡因引起的破坏性中线病变的晚期并发症。眼眶蜂窝织炎是可卡因所致破坏性中线病变的一种非常罕见的并发症。临床医生应认识到吸食可卡因、鼻眶异常和眼眶蜂窝织炎之间的联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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