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第52卷 第3期 2019-6
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第52卷 第2期 2019-4
Periorbital purulent drainage of resulting from bacterial pansinusitis

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篇名 Periorbital purulent drainage of resulting from bacterial pansinusitis
作者 Chia-Ming Lin, Pin-Keng Shih
卷期/出版年月 52卷2期 (2019/4)
頁次 60-62
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.
關鍵詞 Periorbital cellulitis, sinusitis, Streptococcus constellatus
分類 Case Report

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