新生儿眼眶脂肪团的非典型表现

Jenny Planchet, Koana Rojas, P. Blanco
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摘要

眼窝蜂窝织炎是眼窝炎症的常见原因,是一种需要多学科管理的医疗紧急情况。我们报告一例新生儿临床表现为右双睑区体积增大,伴24小时发热。体格检查显示右眼突出,双睑体积增大,无法完全打开眼球,眼睑边缘有潮红和脓性分泌物。实验室报告白细胞增多和反应性血栓形成;眶层扫描显示右侧眶周肿胀水肿,眶外及隔后脂肪密度弥漫性增加,提示右侧眶蜂窝织炎,被万古霉素和头孢他肟覆盖;随后需要脓肿引流,其中分离出耐甲西林金黄色葡萄球菌。作为一个不寻常的病理在这个年龄组,这个病例的出版是推荐的。关键词:蜂窝组织炎,眼眶脓肿,新生儿
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Presentación atípica de celulitis orbitaria en recién nacido
Orbital cellulitis represents a frequent cause of inflammation of the orbit, constituting a medical emergency that requires multidisciplinary management. We present a case of a newborn with clinic of volume increase in right bipalpebral region and fever of 24 hours of evolution. Physical examination reveals proptosis of right eye, increase of bipalpebral volume that prevents the opening of the eyeball in its entirety with signs of flushing and purulent eyelid margin secretion. Laboratories report leukocytosis and reactive thrombosis; orbital tomography scan shows right periorbital swelling and edema, diffuse increase of extra and intraconal post-septal fat density, suggestive findings of right orbital cellulitis, covered with vancomycin and cefotaxime; subsequently requires abscess drainage where Staphylococcus aureus methycilin- resistant is isolated. Being an unusual pathology in this age group, the publication of this case is recommended. Key word: Celullitis, orbital abcess, new born
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