| Periorbital cellulitis in the pediatric population: clinical features and management of 117 cases. | |
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MedLine Citation:
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PMID: 21518652 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Since the advent of the Haemophilus influenzae type B vaccine, no North American case series has described periorbital cellulitis extensively as the main focus in the otolaryngology literature has been the management of orbital abscesses. The aim of this study was to describe the epidemiology, underlying causes, clinical presentation, and medical management of periorbital cellulitis. STUDY DESIGN: Retrospective observational case series. SETTING: Montreal Children's Hospital, McGill University Health Centre, a tertiary pediatric referral center in Montreal, Quebec. SUBJECTS AND METHODS: The medical charts of all pediatric patients hospitalized from January 2000 to August 2006 with a discharge ICD-9 code indicating a diagnosis of periorbital cellulitis without abscess were reviewed. One hundred seventeen cases were identified. RESULTS: Periorbital cellulitis in the pediatric population affects mainly preschool-aged patients (mean age 4.1 ± 4.2 years [SD]) and is more frequent among males than females (1.3:1). The most common predisposing conditions are sinusitis (24.8%), trauma (23.1%), and ocular conditions (13.7%). All patients were successfully managed with intravenous antibiotics for a mean period of 3.4 ± 2.6 days and oral antibiotics for 8.1 ± 4.4 days and recovered fully without complications. CONCLUSION: Our results are consistent with the literature on the subject and show that timely identification of periorbital cellulitis cases and appropriate medical management result in resolution of the condition without complications. |
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Authors:
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Sami Pierre Moubayed; Thien-Tuong Vi Vu; Caroline Quach; Sam J Daniel |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale Volume: 40 ISSN: 1916-0216 ISO Abbreviation: J Otolaryngol Head Neck Surg Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-04-26 Completed Date: 2011-08-11 Revised Date: 2012-03-16 |
Medline Journal Info:
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Nlm Unique ID: 101479544 Medline TA: J Otolaryngol Head Neck Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 266-70 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, Université de Montréal. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cellulitis
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diagnosis*,
etiology,
therapy Child Child, Preschool Female Humans Male Orbital Diseases / diagnosis*, etiology, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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