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Open Access Case report

Step-by-step iconographic description of a prolonged but still favourable course of orbital cellulitis in a child with acute rhinosinusitis: an iconographic case study

Sara Torretta1*, Paola Marchisio2, Michele Gaffuri1, Pasquale Capaccio3, Susanna Esposito2 and Lorenzo Pignataro1

Author Affiliations

1 Department of Clinical Sciences and Community Health, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy

2 Department of Physiopathology and Transplantations, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

3 Department of Surgical and Dental Biomedical Sciences, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

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Italian Journal of Pediatrics 2014, 40:25  doi:10.1186/1824-7288-40-25

Published: 4 March 2014

Abstract

Orbital cellulitis is an infrequent complication of acute ethmoiditis possibly leading to life- or visual-threatening complications. Despite its natural history is well known, its clinical evolution may widely vary among patients, and even in the most favourable cases long-term sequelae may persist. We here provide a step-by-step iconographic description of a periorbital and orbital cellulitis occurring in a child with ipsilateral acute rhinosinusitis. Our report shows that an unusual long-term evolution of periorbital and orbital cellulitis is possible also in apparently favourable cases.

Keywords:
Rhinosinusitis; Orbital cellulitis; Children