Between Trauma and Infection: Diagnostic and Therapeutic Approach to Progressive Orbital Cellulitis
Karima Ouardi *
Department of Otorhinolaryngology Head and Neck Surgery, Mohammed V Military Training Hospital, University Mohammed V, Rabat, Morocco.
Mouad Moujoud
Department of Otorhinolaryngology Head and Neck Surgery, Mohammed V Military Training Hospital, University Mohammed V, Rabat, Morocco.
Ghizlan Amri
Department of Otorhinolaryngology Head and Neck Surgery, Mohammed V Military Training Hospital, University Mohammed V, Rabat, Morocco.
Bouchaib Hemmaoui
Department of Otorhinolaryngology Head and Neck Surgery, Mohammed V Military Training Hospital, University Mohammed V, Rabat, Morocco.
Noureddine Errami
Department of Otorhinolaryngology Head and Neck Surgery, Mohammed V Military Training Hospital, University Mohammed V, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Orbital cellulitis is a rare but potentially serious condition with diverse etiologies, requiring prompt diagnosis and management to avoid severe complications such as blindness or meningitis. We report the case of a 75-year-old female patient admitted with a clinical presentation of left orbital cellulitis occurring two days after an ocular trauma. The unusual context of onset posed a diagnostic and therapeutic dilemma for the practitioner. We discuss our approach to this situation, as well as the importance of close clinical monitoring and appropriate management in case of failure of initial medical treatment.
Keywords: Case report, orbital cellulitis, sinusitis, surgical decompression