Ethmoiditis-associated periorbital cellulitis

Zvi Weizman*, Huda Mussaffi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Seventy-two children with periorbital cellulitis were followed prospectively during a 30-month study period. Twenty patients (28%) had mucopurulent rhinorrhea with obvious radiological ipsilateral opacity of the ethmoid sinuses. This group of patients, as opposed to patients with periorbital cellulitis and no associated ethmoiditis, is characterized by the following features: (1) Higher incidence of temperature > 38.5°C (16/20 vs 24/52. P < 0.01) and elevated white blood count > 15,000 cells/mm3 on admission (10/20 vs 5/52. P < 0.001). (2) Delayed recovery (6.7 ± 3.4 vs 3.4 ± 1.6 days. P < 0.001). (3) Higher rate of recurrent periorbital cellulitis with associated ethmoiditis within 6 months of follow-up (5/20 vs 1/52. P < 0.01). This ethmoiditis-associated serious form of periorbital cellulitis requires an aggressive treatment regimen and a prolonged follow-up.

Original languageEnglish
Pages (from-to)147-151
Number of pages5
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume11
Issue number2
DOIs
StatePublished - Apr 1986
Externally publishedYes

Keywords

  • ethmoiditis
  • periorbital cellulitis

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