Preseptal and orbital cellulitis in childhood. A changing microbiologic spectrum

Ophthalmology
S P Donahue, G R Schwartz

Abstract

The authors sought to determine whether the microbiologic spectrum of preseptal and orbital cellulitis had changed over the past decade. A retrospective chart review of all inpatient and outpatient children with an ICD-9 diagnosis of preseptal or orbital cellulitis seen at Vanderbilt University Medical Center since the introduction of the Haemophilus influenzae type-B (HiB) vaccine (1986-1996). Blood and abscess cultures from children with preseptal and orbital cellulitis were tabulated. During this period, 70 cases of preseptal cellulitis were seen. Blood cultures were obtained in 59 cases; only 6 were positive. Five cultures grew Streptococcus species. The one positive H. influenzae culture occurred in 1987 in a child who did not receive the HiB vaccine. There have been no new patients with preseptal cellulitis and H. influenzae bacteremia at Vanderbilt for 10 years. There were ten cases of orbital cellulitis, of which blood or abscess or both were cultured in eight. Six cases had positive cultures. Four cultures grew Streptococcus species. The other two grew H. influenzae and mixed H. influenzae/gram-positive cocci. The incidence of hemophilus-associated bacteremia in patients with preseptal cellulitis has decreased dramatic...Continue Reading

References

Mar 1, 1987·Head & Neck Surgery·K Jackson, S R Baker
May 1, 1995·Pediatrics in Review·K R Powell
Mar 1, 1993·The Journal of Pediatrics·L R Ciarallo, P C Rowe
Feb 1, 1996·The Journal of Pediatrics·Z F Pollard
May 1, 1996·Southern Medical Journal·S L HickersonG E Schutze
Dec 1, 1996·Annals of Emergency Medicine·G R Schwartz, S W Wright
Feb 12, 1998·The New England Journal of Medicine·A SchuchatB A Perkins

Citations

Aug 21, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Selena LiaoMichael J Cunningham
Jun 9, 2000·Eye·R R Seemongal-Dass, C H Hutchinson
May 8, 2001·Eye·S G NgC P Sabhudi
Aug 24, 2000·The New England Journal of Medicine·B J Shingleton, M W O'Donoghue
Mar 28, 2002·Cornea·Andrew J VelazquezWilliam T Driebe
Aug 23, 2002·International Ophthalmology Clinics·Fumiyuki Uehara, Norio Ohba
Oct 20, 2001·The Pediatric Infectious Disease Journal·C R Starkey, R W Steele
Apr 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jeffrey S UppermanJohn Marshall
Aug 28, 2009·The Pediatric Infectious Disease Journal·Aila Kristo, Matti Uhari
Jun 2, 2006·Journal of Paediatrics and Child Health·Jonathan B GubbayRobin E Gilmour
Feb 28, 2002·The British Journal of Ophthalmology·A M AlrawiE T Cunningham
Mar 27, 2002·The British Journal of Ophthalmology·R R Seemongal-Dass, T E James
Jul 10, 2010·Middle East African Journal of Ophthalmology·Mithra O Gonzalez, Vikram D Durairaj
Mar 24, 2015·Ophthalmology·Ronald C GentileDan-Ning Hu
Oct 27, 2010·Neuroimaging Clinics of North America·Joseph M Hoxworth, Christine M Glastonbury
Aug 19, 2007·American Journal of Ophthalmology·Steven H McKinleyKimberly G Yen
Jun 19, 2007·Survey of Ophthalmology·Petros I Rafailidis, Matthew E Falagas
Jun 15, 2007·Infectious Disease Clinics of North America·E R Wald
Jun 27, 2003·Primary Care·Nasreen A Bhumbra, Sophia G McCullough
Aug 11, 2007·Current Medical Research and Opinion·Christina OhnsmanAl Kabat
Apr 23, 2015·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Abhishek SharmaSusan Richardson
Jan 1, 2011·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Seongmu Lee, Michael T Yen
Feb 13, 2001·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·J A Pérez-Molina, F Fernández
May 19, 2007·Orbit·Harvey Siy Uy, Prospero Ma C Tuano
Jun 6, 2002·Journal of the European Academy of Dermatology and Venereology : JEADV·M Duarte ReisF Guerra Rodrigo
Nov 28, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Carolyn L MulveyAdva Buzi
Jul 2, 2019·Current Opinion in Ophthalmology·Katherine J Williams, Richard C Allen
Oct 18, 2016·Ophthalmic Plastic and Reconstructive Surgery·Anaïs L CarniciuSuzanne K Freitag
Jun 15, 2010·European Journal of Ophthalmology·Constantine D GeorgakopoulosAnastasia Varvarigou
Dec 29, 2020·Clinical Case Reports·Saurabh BansalGirish Singhania
Apr 25, 2020·Microbial Pathogenesis·KrishnanNair Geetha Deepthi, Solai Ramatchandirane Prabagaran
Apr 29, 2021·The Cochrane Database of Systematic Reviews·Emily KornelsenPeter J Gill

Related Concepts

Phlegmon
Eyelid Diseases
Haemophilus Infections
Haemophilus influenzae
Orbit (Eye Disorders)
Retrospective Studies
Streptococcal Infections
Streptococcus
Eye Infections, Bacterial
Bacteremia

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