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Med Bull Sisli Etfal Hosp. 2020; 54(4): 497-501 | DOI: 10.14744/SEMB.2019.54289 | |||
Magnetik rezonans inceleme sayesinde menenjit tanısı konulan preseptal sellülit tanılı pediatrik olguların değerlendirilmesiLida Bulbul1, Canan Hasbal Akkus1, Nevin Hatipoglu1, Figen Bakirtas Palabiyik2, Zahide Mine Yazici3, Sadık Sami Hatipoglu11Sağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Kliniği, İstanbul2Sağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, İstanbul 3Sağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, İstanbul Rinosinüzit, yaygın bir enfeksiyon olup nadiren hayatı tehdit eden orbital ve intrakranial ciddi komplikasyonlara yol açabilir. Çalışmamızda rinosinüzit komplikasyonu olarak preseptal sellülit ve menenjit birlikteliği gelişen iki olgu literatür verileri eşliğinde sunulmuştur. Evaluation of Pediatric Preseptal Cellulitis Cases Diagnosed with Meningitis by Magnetic Resonance ImagingLida Bulbul1, Canan Hasbal Akkus1, Nevin Hatipoglu1, Figen Bakirtas Palabiyik2, Zahide Mine Yazici3, Sadık Sami Hatipoglu11Department of Pediatry, University of Health Science Turkey, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey2Department of Radiology, University of Health Science Turkey, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey 3Department of ENT, University of Health Science Turkey, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey Rhinosinusitis is a common infection and may rarely cause severe life-threatening orbital and intracranial complications. In this study, two cases with preseptal cellulitis and meningitis as a complication of rhinosinusitis were presented in the light of the literature. A nine years and two months old girl was admitted with complaints as fever, redness and swelling in the left eye. Physical examination revealed erythema and edema in the left lower and upper eyelids, and the eye movements were painless and normal in all directions. Her systemic examination was normal and there was no sign of meningeal irritation. Magnetic resonance imaging revealed ethmoid, frontal and sphenoid sinusitis and left cerebral hemisphere dural meningeal contrast enhancement. The patient was diagnosed with meningitis after lumbar puncture. After 14 days of appropriate antibiotic treatment, the patient recovered and was discharged. An eight years and five months old boy presented with fever, redness and swelling in the left eye was admitted. There were erythema and edema in the left lower and upper eyelid; the eye movements were painless in all directions and were complete. Systemic examination was normal; there was no sign of meningeal irritation. Pansinusitis and preseptal cellulitis findings were detected on computer tomography. The patient's fever persisted under treatment and erythema and edema of the eye became more evident. Orbital MRI was performed considering the complication and contrast enhancement was observed in the left frontal region. The patient was diagnosed with meningitis after lumbar puncture. After 14 days of appropriate antibiotic treatment, the patient recovered and was discharged. Intracranial complication due to preseptal sinusitis is rare but life-threatening. In these cases, we recommend the use of MRI as the radiological imaging method. Keywords: Cellulitis, childhood; meningitis; magnetic resonance imaging.Lida Bulbul, Canan Hasbal Akkus, Nevin Hatipoglu, Figen Bakirtas Palabiyik, Zahide Mine Yazici, Sadık Sami Hatipoglu. Evaluation of Pediatric Preseptal Cellulitis Cases Diagnosed with Meningitis by Magnetic Resonance Imaging. Med Bull Sisli Etfal Hosp. 2020; 54(4): 497-501 Sorumlu Yazar: Lida Bulbul |
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