頁籤選單縮合
題 名 | Periorbital Purulent Drainage of Resulting from Bacterial Pansinusitis |
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作 者 | Lin, Chia-ming; Shih, Pin-keng; | 書刊名 | Formosan Journal of Surgery |
卷 期 | 52:2 2019.04[民108.04] |
頁 次 | 頁60-62 |
分類號 | 416.75 |
關鍵詞 | Periorbital cellulitis; Sinusitis; Streptococcus constellatus; |
語 文 | 英文(English) |
英文摘要 | Periorbital cellulitis is much more common in younger children than in adolescents or adults, and most cases of uncomplicated periorbital cellulitis can be treated with antibiotics alone. Here, we report a case of a 53-year-old man with periorbital purulent discharge. Computed tomography imaging revealed pansinusitis. Pus culture isolated a pathogen of Streptococcus constellatus, but it was refractory to 2 weeks of antibiotic therapy with amoxicillin–clavulanate. The patient underwent debridement and functional endoscopic sinus surgery, followed by 10 days of hyperbaric oxygen treatment. The above antibiotic was changed to full-dose intravenous clindamycin. Two weeks after the surgery, the patient was discharged from the hospital. At 1-month follow-up, no purulent discharge was noted; however, mild left-eyelid contracture was observed. This study suggested that if conservative therapy for periorbital purulent discharge in an adult is not effective, progressive treatment, including surgery, should be considered. |
本系統中英文摘要資訊取自各篇刊載內容。