Orbital cellulits is one of the life threatening event that should not be missed out and must be distinguished from preseptal cellulitis. It is an infective process involving ocular adnexal structures posterior to the orbital septum. High index of suspicion is the key to its diagnosis as even experienced physician can miss. Here, we present a case of a 15-year-old female who presented with progressive swelling over right forehead associated with high grade fever, headache and purulent discharge of the swelling. She was diagnosed with sepsis due to right forehead abscess and was treated with intravenous antibiotics followed with admission. However, she suddenly deteriorated in the ward which required intubation and thereby Intensive Care Unit (ICU) admission. Investigations revealed fluid collection at right retrobulbar space suggestive of an abscess where emergency drainage was carried out. Unfortunately, her condition worsened and patient succumbed at day-10 of admission, despite all efforts.
What Eyes Behold if Missed can be a Life Taking Event: A Case of Orbital Cellulitis
Abstrak
Sellulitis orbital merupakan salah satu daripada keadaan yang boleh mengancam nyawa dan tidak seharusnya terlepas pandang. Ianya harus dibezakan dengan sellulitis praseptal. Ini terjadi akibat proses jangkitan yang melibatkan struktur sekitar mata posterior kepada septum orbital. Indeks kecurigaan yang tinggi harus ada bagi mendiagnosa keadaan ini. Kami membentangkan satu kes melibatkan seorang gadis berumur 15 tahun yang datang disebabkan oleh bengkak pada dahi sebelah kanan yang membesar dengan cepat. Beliau juga mengalami demam tinggi, sakit kepala dan nanah pada bengkakan tersebut. Beliau didiagnosa mengalami sepsis yang disebabkan abses dahi dan diberi rawatan dengan antibiotik serta di masukkan ke wad. Walau bagaimanapun, keadaan beliau bertambah tenat dan terpaksa dimasukkan ke unit rawatan rapi. Hasil penyiasatan menunjukan terdapat koleksi cecair pada ruang retrobulbar dan pembedahan segera dilakukan bagi mengeluarkan nanah. Namun, keadaan beliau bertambah teruk dan akhirnya beliau meninggal pada hari ke-10.
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