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Preseptal Cellulitis Secondary to a Dental Infection

机译:继发于牙齿感染的前房间隔蜂窝织炎

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摘要

A 49-year-old white male presented with preseptal cellulitis of the right eye following nasal endoscopy 24 h earlier. He attributed the cellulitis to nasal endoscopy. A computerized axial tomography (CAT) scan of the head was obtained, which demonstrated a dental abscess extending superiorly into the preseptal space. There was no orbital involvement. PubMed was searched for etiologies of preseptal cellulitis. Preseptal cellulitis, otherwise known as periorbital cellulitis, is defined as an infection of the soft tissue space that is anterior to the orbital septum. Preseptal cellulitis has been attributed to facial trauma, insect bites, local skin infections, and foreign bodies. No cases of preseptal cellulitis caused by nasal endoscopy have been reported; however, a 2-year-old male developed preseptal cellulitis two weeks following oral trauma [1]. Dental infections have been reported to cause orbital cellulitis, but they should also be in the differential for preseptal cellulitis. It is important to perform a thorough dental exam in subjects presenting with preseptal cellulitis.
机译:一名49岁的白人男性在24小时前进行鼻内镜检查后出现右眼前房间隔蜂窝组织炎。他将蜂窝织炎归因于鼻内窥镜检查。获得了头部的计算机轴向断层摄影术(CAT)扫描,显示出牙龈脓肿向上延伸至前房间隙。没有轨道参与。在PubMed中搜索前房蜂窝织炎的病因。前房间隔蜂窝炎,也称为眶周蜂窝组织炎,定义为眼眶间隔前部软组织间隙的感染。前房间隔炎已归因于面部创伤,昆虫叮咬,局部皮肤感染和异物。尚无因鼻内窥镜引起的前房间隔蜂窝炎的报道。然而,一名2岁男性在口腔创伤后两周发展为前房间隔蜂窝织炎[1]。据报道,牙科感染可引起眼眶蜂窝织炎,但也应与前房间隔蜂窝织炎相鉴别。对患有前房间隔蜂窝织炎的受试者进行彻底的牙科检查很重要。

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