TY - JOUR
T1 - A Rare Case of Palpebral Cellulitis, a Variation of Pott's Puffy Tumor
AU - Yamamoto, Marina
AU - Wakayama, Nozomu
AU - Hamajima, Yuki
AU - Miyata, Kohei
AU - Takahashi, Hiroshi
AU - Kobayakawa, Shinichiro
N1 - Publisher Copyright:
© 2020 The Author(s). Published by S. Karger AG, Basel.
PY - 2020
Y1 - 2020
N2 - A rare case of palpebral cellulitis with simultaneous frontal sinusitis and osteomyelitis is reported. A healthy 45-year-old man presented with left upper eyelid swelling. He was given intravenous meropenem at the local hospital, but he failed to improve. Magnetic resonance imaging showed left frontal and maxillary sinusitis and upper palpebral cellulitis with an abscess. His temperature was 37.6°C, C-reactive protein was 1.36 mg/dL, thyroid hormone was elevated, left best-corrected visual activity was 1.2, and intraocular pressure was 25 mm Hg. He was then given cefazolin intravenously for 3 days but with no improvement. Therefore, the eyelid skin was incised. Postoperatively, the swelling improved significantly. Computed tomography demonstrated osteomyelitis of the left frontal sinus and osteolysis of the inferior wall. This case was considered a variation of Pott's puffy tumor. Bacterial cultures from the cellulitis abscess and sinusitis were negative. As for sinusitis, endoscopic sinusitis surgery (frontal sinus single sinus surgery [Draf III] and Kilian surgery) was performed. During 10 months of follow-up after the skin incision, no signs of recurrent eyelid swelling were observed.
AB - A rare case of palpebral cellulitis with simultaneous frontal sinusitis and osteomyelitis is reported. A healthy 45-year-old man presented with left upper eyelid swelling. He was given intravenous meropenem at the local hospital, but he failed to improve. Magnetic resonance imaging showed left frontal and maxillary sinusitis and upper palpebral cellulitis with an abscess. His temperature was 37.6°C, C-reactive protein was 1.36 mg/dL, thyroid hormone was elevated, left best-corrected visual activity was 1.2, and intraocular pressure was 25 mm Hg. He was then given cefazolin intravenously for 3 days but with no improvement. Therefore, the eyelid skin was incised. Postoperatively, the swelling improved significantly. Computed tomography demonstrated osteomyelitis of the left frontal sinus and osteolysis of the inferior wall. This case was considered a variation of Pott's puffy tumor. Bacterial cultures from the cellulitis abscess and sinusitis were negative. As for sinusitis, endoscopic sinusitis surgery (frontal sinus single sinus surgery [Draf III] and Kilian surgery) was performed. During 10 months of follow-up after the skin incision, no signs of recurrent eyelid swelling were observed.
KW - Osteomyelitis
KW - Palpebral cellulitis
KW - Pott's puffy tumor
KW - Sinusitis
KW - Skin incision
UR - http://www.scopus.com/inward/record.url?scp=85082516145&partnerID=8YFLogxK
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U2 - 10.1159/000506225
DO - 10.1159/000506225
M3 - Article
AN - SCOPUS:85082516145
SN - 1663-2699
VL - 11
SP - 106
EP - 111
JO - Case Reports in Ophthalmology
JF - Case Reports in Ophthalmology
IS - 1
ER -