Document Detail

Periocular abscesses following brow epilation.
MedLine Citation:
PMID:  23034690     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The aim of this article was to report the clinical presentation, radiography, culture results, treatment modalities, and outcomes of periocular abscesses associated with brow epilation.
METHODS: This was a retrospective case series including 26 patients referred for periocular abscess following brow epilation.
RESULTS: Twenty-six female patients with a median age of 20.5 (range, 12-73) years were referred for oculoplastic evaluation of periocular abscesses related to recent brow epilation. All patients were treated with incision and drainage along with systemic antibiotics. Culture results revealed 16 cases of methicillin-resistant Staphylococcus aureus, 3 of methicillin-sensitive Staphylococcus aureus, and 7 cultures that showed no growth. All patients had resolution of their abscesses at 1-month follow-up visits without progression to orbital cellulitis.
CONCLUSIONS: Periocular abscess formation after brow epilation has been previously described in only a single case report in the literature. The authors believe this entity is underreported given their current report describing 26 such cases. Given the high prevalence of cosmetic brow epilation in females, the authors believe a careful history regarding brow epilation in any patient presenting with a periocular abscess or preseptal cellulitis is essential to explore the possible cause of their infection. The majority of patients in the current study's cohort had methicillin-resistant Staphylococcus aureus-related abscesses, and treatment with antibiotics with methicillin-resistant Staphylococcus aureus coverage may be a prudent first line choice in such patients.
Solly Elmann; Renelle Pointdujour; Sean Blaydon; Tanuj Nakra; Michael Connor; Chirantan Mukhopadhyay; Flora Levin; Robert Schwarcz; Todd Shepler; John W Shore; Edward J Wladis; Roman Shinder
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  28     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2012 Nov-Dec
Date Detail:
Created Date:  2012-11-09     Completed Date:  2013-03-08     Revised Date:  2013-05-08    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-7     Citation Subset:  IM    
Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York 11203, USA.
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MeSH Terms
Abscess / diagnosis,  microbiology*,  therapy
Anti-Bacterial Agents / administration & dosage
Combined Modality Therapy
Eye Infections, Bacterial / diagnosis,  microbiology*,  therapy
Hair Removal / adverse effects*
Methicillin-Resistant Staphylococcus aureus / isolation & purification*
Middle Aged
Ophthalmologic Surgical Procedures
Retrospective Studies
Staphylococcal Infections / diagnosis,  microbiology*,  therapy
Tomography, X-Ray Computed
Young Adult
Reg. No./Substance:
0/Anti-Bacterial Agents

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