Orbital complication of acute ethmoiditis: A Tunisian paediatric cross sectional study

Acute ethmoiditis complicated by intraorbital abscess, orbital cellulitis and cerebral empyema in a 14-year-old girl. About a case.

“…In the present study, we report the case of an adolescent girl who presented with acute ethmoiditis complicated by cerebral empyema, orbital cellulitis, and intraorbital abscess. The clinic was dominated by a fever of 39.9°Celsius, headache, a sensitive swelling of the left upper eyelid and the external canthus, chemosis, left exophthalmos with preservation of ocular mobility and visual acuity (10/10), a normal eye fundus with the notion of repeated rhinopharyngitis, and is in line with the literature which finds in the majority of cases similar symptomatology and rarely ophthalmoplegia and papilledema in cases of acute ethmoiditis in children [4,5].…”

“…Orbital involvement is the most frequent complication of acute ethmoiditis. Its frequency is about 91% of the complications of ethmoiditis in children, cerebral involvement being rarely observed [4]. In the present study, we report the case of an adolescent girl who presented with acute ethmoiditis complicated by cerebral empyema, orbital cellulitis, and intraorbital abscess.…”

“…Orbital involvement accounts for up to 91% of complications, with orbital and subperiosteal abscesses often leading to cavernous sinus thrombosis, meningitis, blindness, and intracranial abscesses. [3,4]. Infection often spreads from the ethmoidal sinus into the periorbital spaces through the bloodstream or via erosion of the lamina papyracea.…”

Acute ethmoiditis complicated by intraorbital abscess, orbital cellulitis, and cerebral empyema in a 14‐year‐old girl

“…Orbital involvement is the most frequent complication of acute ethmoiditis. Its frequency is about 91% of the complications of ethmoiditis in children, cerebral involvement being rarely observed 4 . In this study, we report the case of an adolescent girl who presented with acute ethmoiditis complicated by cerebral empyema, orbital cellulitis, and intraorbital abscess.…”

A 9-Year-Old Male With Fever, Proptosis and Hemodynamic Instability

“…and fungi such as Aspergillus species and Zygomycetes can also cause septic cavernous sinus thrombosis, particularly in the setting of immunosuppression. 4,8 Children presenting with cavernous sinus thrombosis are at risk of developing significant complications including cranial nerve palsies, internal carotid artery thrombosis and cerebral infarcts. 6 Progression can be extremely rapid, particularly in cases involving Fusobacterium spp., with permanent neurologic sequelae including loss of vision developing within hours.…”