RESUMEN
Pott's puffy tumor is rarely associated with orbital cellulitis. We describe a pediatric patient with Pott's puffy tumor and right-sided orbital cellulitis. He underwent urgent surgical drainage of a glabellar subperiosteal abscess and completed a six week course of intravenous antibiotics with complete resolution of infection and no long-term sequelae. Close monitoring with imaging for intracranial spread and multidisciplinary surgical intervention are commonly recommended.
Asunto(s)
Celulitis (Flemón)/etiología , Edema/etiología , Absceso Epidural/complicaciones , Enfermedades de los Párpados/etiología , Sinusitis Frontal/complicaciones , Enfermedades Orbitales/etiología , Osteomielitis/complicaciones , Ampicilina/administración & dosificación , Antibacterianos/uso terapéutico , Celulitis (Flemón)/diagnóstico por imagen , Celulitis (Flemón)/terapia , Niño , Terapia Combinada , Drenaje/métodos , Edema/diagnóstico por imagen , Edema/terapia , Absceso Epidural/diagnóstico por imagen , Absceso Epidural/terapia , Enfermedades de los Párpados/diagnóstico por imagen , Enfermedades de los Párpados/terapia , Sinusitis Frontal/diagnóstico por imagen , Sinusitis Frontal/terapia , Humanos , Infusiones Intravenosas , Masculino , Enfermedades Orbitales/diagnóstico por imagen , Enfermedades Orbitales/terapia , Osteomielitis/diagnóstico por imagen , Osteomielitis/terapia , Sulbactam/administración & dosificación , Tomografía Computarizada por Rayos XRESUMEN
PURPOSE: To report visual results in pediatric patients with high anisometropia following aggressive amblyopia treatment using traditional methods. METHODS: Charts of one physician, JM, were reviewed at a major university medical center for all patients with anisometropia of eight diopters or greater. Patients ranged from children with severe unilateral high myopia due to retinopathy of prematurity to one infant with severe microphthalmos, acoria, and congenital cataract. Four patients were identified. Final Snellen acuities were reported from the patient's last clinic examination. Average follow-up period was four years. RESULTS: Final visual acuities of involved eyes ranged from line Snellen 20/60 to 20/20. One patient with severe microphthalmos, congenital acoria, congenital cataract, and anisometropia of 40 diopters achieved a final Snellen visual acuity of 20/40 OS. No patients developed visual loss in the normal eye due to patching. No patients were lost to follow-up. CONCLUSION: Based on our observations, excellent visual outcomes may be achieved in pediatric patients with high anisometropia by aggressive use of conventional occlusion and refractive methods.