Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report

Oumarou Abdouramani,1 S Nguefack,2,3 VA Dohvoma,3 B Moifo,3,5 Andr&eacute; Omgbwa Eball&eacute;,1 A Moho,4 E Epee,3 E Mbonda,2,3 AL Bella31Ophthalmology Unit, Yaound&eacute; Gynaeco-obstetric and Paediatric Hospital (YGOPH), 2Neuropaediatric Unit, YGOPH, 3Faculty of Medicine...

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Autores principales:	Abdouramani O, Nguefack S, Dohvoma VA, Moifo B, Eball&eacute; AO, Moho A, Epee E, Mbonda E, Bella AL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d6281af652e34ae9a637298ef71efdb3
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spelling	oai:doaj.org-article:d6281af652e34ae9a637298ef71efdb32021-12-02T06:33:04ZBilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report1177-54671177-5483https://doaj.org/article/d6281af652e34ae9a637298ef71efdb32012-09-01T00:00:00Zhttp://www.dovepress.com/bilateral-intraorbital-abscesses-with-intracranial-complications-in-a--a10897https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Oumarou Abdouramani,1 S Nguefack,2,3 VA Dohvoma,3 B Moifo,3,5 Andr&eacute; Omgbwa Eball&eacute;,1 A Moho,4 E Epee,3 E Mbonda,2,3 AL Bella31Ophthalmology Unit, Yaound&eacute; Gynaeco-obstetric and Paediatric Hospital (YGOPH), 2Neuropaediatric Unit, YGOPH, 3Faculty of Medicine and Biomedical Sciences, University of Yaound&eacute; I, 4Ear, Nose, and Throat Unit, YGOPH, 5Radiology Unit, YGOPH, CameroonBackground: Intraorbital abscess is a very severe infection with ophthalmologic and neurologic complications that are sometimes life-threatening.Objective: To report the etiologic, clinical, radiologic, and prognostic features of one case of bilateral intraorbital abscesses with intracranial complications.Case report: A 15-year-old Cameroonian girl in a comatose state (11/15 on the Glasgow Coma Scale) with meningeal signs, right hemiplegia, right facial palsy, and bilateral exophthalmia was admitted for meningitis and cerebral abscess secondary to orbital cellulitis. A lumbar tap was carried out, no organisms were seen by Gram stain, and culture was negative due to previous antibiotic therapy. A computed tomography scan showed a left internal capsule infarct and a pansinus opacification. Bilateral superior orbitotomies were performed and the abscess evacuated. Microscopy and culture of surgical material were negative. The patient was discharged 4 weeks after hospital admission with a visual acuity of 0.1 in both eyes, aphasia, and right hemiplegia. Nine months later, there was complete visual recovery (visual acuity 1.0 in both eyes). Anterior and posterior segments were normal on slit-lamp examination. There was no aphasia, but right-sided hemiparesis persisted.Conclusion: The authors emphasize the need for prevention, early diagnosis, and adequate treatment of orbital cellulitis in order to avoid complications.Keywords: intraorbital abscess, orbital cellulitis, orbitotomies, hemiparesis, intracranial complications, pansinusitisAbdouramani ONguefack SDohvoma VAMoifo BEball&eacute; AOMoho AEpee EMbonda EBella ALDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1429-1432 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Abdouramani O Nguefack S Dohvoma VA Moifo B Eball&eacute; AO Moho A Epee E Mbonda E Bella AL Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report
description	Oumarou Abdouramani,1 S Nguefack,2,3 VA Dohvoma,3 B Moifo,3,5 Andr&eacute; Omgbwa Eball&eacute;,1 A Moho,4 E Epee,3 E Mbonda,2,3 AL Bella31Ophthalmology Unit, Yaound&eacute; Gynaeco-obstetric and Paediatric Hospital (YGOPH), 2Neuropaediatric Unit, YGOPH, 3Faculty of Medicine and Biomedical Sciences, University of Yaound&eacute; I, 4Ear, Nose, and Throat Unit, YGOPH, 5Radiology Unit, YGOPH, CameroonBackground: Intraorbital abscess is a very severe infection with ophthalmologic and neurologic complications that are sometimes life-threatening.Objective: To report the etiologic, clinical, radiologic, and prognostic features of one case of bilateral intraorbital abscesses with intracranial complications.Case report: A 15-year-old Cameroonian girl in a comatose state (11/15 on the Glasgow Coma Scale) with meningeal signs, right hemiplegia, right facial palsy, and bilateral exophthalmia was admitted for meningitis and cerebral abscess secondary to orbital cellulitis. A lumbar tap was carried out, no organisms were seen by Gram stain, and culture was negative due to previous antibiotic therapy. A computed tomography scan showed a left internal capsule infarct and a pansinus opacification. Bilateral superior orbitotomies were performed and the abscess evacuated. Microscopy and culture of surgical material were negative. The patient was discharged 4 weeks after hospital admission with a visual acuity of 0.1 in both eyes, aphasia, and right hemiplegia. Nine months later, there was complete visual recovery (visual acuity 1.0 in both eyes). Anterior and posterior segments were normal on slit-lamp examination. There was no aphasia, but right-sided hemiparesis persisted.Conclusion: The authors emphasize the need for prevention, early diagnosis, and adequate treatment of orbital cellulitis in order to avoid complications.Keywords: intraorbital abscess, orbital cellulitis, orbitotomies, hemiparesis, intracranial complications, pansinusitis
format	article
author	Abdouramani O Nguefack S Dohvoma VA Moifo B Eball&eacute; AO Moho A Epee E Mbonda E Bella AL
author_facet	Abdouramani O Nguefack S Dohvoma VA Moifo B Eball&eacute; AO Moho A Epee E Mbonda E Bella AL
author_sort	Abdouramani O
title	Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report
title_short	Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report
title_full	Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report
title_fullStr	Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report
title_full_unstemmed	Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report
title_sort	bilateral intraorbital abscesses with intracranial complications in a young cameroonian girl: a case report
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/d6281af652e34ae9a637298ef71efdb3
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Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report

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