Concomitant bilateral orbital and brain abscesses-unusual complications of pediatric rhinosinusitis

Shiang Fu Huang, Ta Jen Lee, Kuang Lin Lin*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

10 Scopus citations

Abstract

Rhinosinusitis is a common medical problem. Complications involving the orbits or brain are not frequently met. Concomitant involvement of both orbits and the brain is very rare. We here describe a 6-year-old girl who suffered from acute rhinosinusitis and initially, subperiosteal abscesses in both orbits. Bilateral functional endoscopie sinus surgery and drainage of the subperiosteal abscesses through the upper eyelids were done. Pus cultures showed methicillin-resistant Staphylococcus aureus. The brain abscesses were found under magnetic resonance imaging (MRI) and were treated conservatively with vancomycin and rifampin for 7 weeks. The patient was free of ouular and necurologic sequelae at the 1-year follow up. Retrograde thrombophlebitis instead of anatomic dehiscence was the most likely route for the spread of infection. Multidisciplinary approaches are necessary in managing ophthalmologic and intracranial complications of sinusitis.

Original languageEnglish
Pages (from-to)51-55
Number of pages5
JournalChang Gung Medical Journal
Volume28
Issue number1
StatePublished - 01 2005
Externally publishedYes

Keywords

  • Brain abscess
  • Pediatric rhinosinusitis
  • Subperiosteal abscess

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