Idiopathic Isolated Abscess in an Extraocular Muscle in a Child

Haufschild, Timo; Weber, Peter W.; Nuttli, Ines; Hecker, Burkhard; Kaiser, Hedwig J.

doi:10.1001/archopht.122.8.1233

Cited by 12 publications

(4 citation statements)

References 5 publications

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“…Rhino-orbital mucormycosis is a rare and life-threatening fungal infection that occurs in association with immunocompromised states. Non-infectious possibilities include orbital pseudotumour, rapidly growing orbital tumour, Graves' disease and subperiosteal haematomas; with these entities fever would typically be absent 81 86. The differential diagnosis of eyelid erythema and oedema must also include less serious condition such as atopic dermatitis and contact dermatitis (figure 4).…”

Section: Discussionmentioning

confidence: 99%

Periorbital necrotising fasciitis

Lazzeri

Figus

et al. 2009

British Journal of Ophthalmology

100

141

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Necrotising fasciitis involving the periorbita is a devastating infection. Potential outcomes range from severe disfigurement, loss of the eye and even to death. Early recognition is critical, although its initially non-distinctive appearance frequently delays diagnosis and treatment. Herein, the authors have performed a systematic review of previously published cases including clinical features, diagnoses and differential diagnoses, pathological characteristics and management. Periorbital necrotising fasciitis is seen mainly in adults with a female predominance (54%); about one-half (47%) of the patients were previously healthy. The infection can follow local blunt trauma (17%), penetrating injuries (22%) and face surgery (11%), but in about one-third of cases (28%) no cause was identified. Non-specific erythema and localised painful swelling of the eyelids characterise the earliest manifestation of the disease, followed by formation of blisters and necrosis of the periorbital skin and subcutaneous tissues. The causative organism in periorbital infection was mainly β-haemolytic Streptococcus alone (50%), occasionally in combination with Staphylococcus aureus (18%). The overall mortality rate was 14.42%. The main risk factor for mortality was the type of causative organism, since all reported cases of death were caused by β-haemolytic Streptococcus alone or associated with other organisms. Unlike necrotising fasciitis affecting other body sites, there was not a strong correlation with age >50 years or the presence of associated chronic illness. Management of periorbital necrotising fasciitis is then based on early distinction of symptoms and signs and aggressive multidisciplinary treatment. Thus, the delay between initial debridement and initiating parenteral broad-spectrum antibiotic therapy should be considered the most critical factor influencing morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Periorbital necrotising fasciitis

Lazzeri

Figus

et al. 2009

British Journal of Ophthalmology

100

141

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“…Haufschild et al . [2] reported an idiopathic isolated abscess of superior rectus muscle in an 11-year-old girl. MRI showed an abscess with central cavitation and a rim of enhancement.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, only three cases of pyomyositis in the eye have been reported in the literature. [23] We present four cases of isolated EOM pyomyositis.…”

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confidence: 99%

Pyomyositis of extraocular muscle: Case series and review of the literature

Acharya

Jethani

2010

Indian J Ophthalmol

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Pyomyositis is a primary acute bacterial infection usually caused by Staphylococcus aureus. Any skeletal muscle can be involved, but the thigh and trunk muscles are commonly affected. Only three cases of extraocular muscle (EOM) pyomyositis have been reported. We herein present four cases of isolated EOM pyomyositis. Three of our cases presented with acute onset of proptosis, pain, swelling and redness. One patient presented with mass in the inferior orbit for 4 months. One patient had central retinal artery occlusion on presentation. None of them had marked systemic symptoms. Computed tomography scan of all patients showed a typical hypodense rim enhancing lesion of the muscle involved. Three patients were started on intravenous antibiotics immediately on diagnosis and the pus was drained externally. Two patients underwent exploratory orbitotomy. In conclusion, it should be considered in any patient presenting with acute onset of orbital inflammation. Management consists of incision and drainage coupled with antibiotic therapy.

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“…To our knowledge, only seven cases of pyomyositis in the eye have been reported in the literature. [ 2 3 4 ]…”

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confidence: 99%

Isolated abscess in superior rectus muscle in a child

Bhalerao¹,

Singh²,

Yadav³

et al. 2015

Indian J Ophthalmol

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Pyomyositis is a primary bacterial infection of striated muscles nearly always caused by Staphylococcus aureus. Development of the intramuscular abscess involving the extra-ocular muscles (EOMs) remains an extremely rare process. We herein present a case of isolated EOM pyomyositis involving superior rectus muscle in a 2-year male child who was referred with complaints of swelling in left eye (LE) and inability to open LE since last 1-month. Orbital computed tomography (CT) scan showed a well-defined, hypo-dense, peripheral rim-enhancing lesion in relation to left superior rectus muscle suggestive of left superior rectus abscess. The abscess was drained through skin approach. We concluded that pyomyositis of EOM should be considered in any patient presenting with acute onset of orbital inflammation and characteristic CT or magnetic resonance imaging features. Management consists of incision and drainage coupled with antibiotic therapy.

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Idiopathic Isolated Abscess in an Extraocular Muscle in a Child

Cited by 12 publications

References 5 publications

Periorbital necrotising fasciitis

Periorbital necrotising fasciitis

Pyomyositis of extraocular muscle: Case series and review of the literature

Isolated abscess in superior rectus muscle in a child

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