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[Staphylococcus, the most frequent agent of serious complications of acute sinusitis in children. 5 cases]. / Le staphylocoque, agent le plus fréquent des complications graves des sinusites aiguës de l'enfant. Cinq observations.
Ann Med Interne (Paris) ; 133(7): 462-7, 1982.
Article em Fr | MEDLINE | ID: mdl-7158892
The high incidence of staphylococcal infection in severe forms of orbital cellulitis is reviewed with 4 case reports of children with complications of acute sinusitis due to staphylococcal infection. Three cases of thrombosis of the sinus cavernosus due to ethmoidal extension were observed, complicated in one case by fatal purulent meningitis. In one case, the sinusitis was a mixed staphylococcal and anerobic infection with orbital cellulitis and subcutaneous gas gangrene. No organism was isolated in the fifth child who had exophtalmos due to retroorbital cellulitis, but a rapid recovery was obtained with anti staphylococcal antibiotics after failure of inappropriate antibiotics. In conclusion, all periorbital cellulitis complicating sinusitis should be prescribed active anti staphylococcal antibiotics. In addition low dose anti coagulant therapy and prophylactic treatment against cerebral aedema are recommanded because of the risk of extension of the infection by thrombophlebitis of the sinus cavernosus and of intracranial propagation of the periorbital aedema.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sinusite / Infecções Estafilocócicas Tipo de estudo: Etiology_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: Fr Revista: Ann Med Interne (Paris) Ano de publicação: 1982 Tipo de documento: Article País de publicação: França
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sinusite / Infecções Estafilocócicas Tipo de estudo: Etiology_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: Fr Revista: Ann Med Interne (Paris) Ano de publicação: 1982 Tipo de documento: Article País de publicação: França