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Rapidly progressing subperiosteal orbital abscess: an unexpected complication of a group-A streptococcal pharyngitis in a healthy young patient.
[acute rheumatic fever]
Complications
associated
to
group-
A
streptococcal
pharyingitis
include
non-suppurative
complications
such
as
acute
rheumatic
fever
and
glomerulonephritis
and
suppurative
complications
such
as
peritonsillar
or
retropharyngeal
abscess
,
sinusitis
,
mastoiditis
,
otitis
media
,
meningitis
,
brain
abscess
,
or
thrombosis
of
the
intracranial
venous
sinuses
.
We
described
a
case
of
a
15
-
year
-old
patient
with
a
history
of
acute
pharyngodinia
early
followed
by
improvise
fever
and
a
progressive
formation
of
a
diffuse
orbital
edema
,
corneal
hyperaemia
,
diplopia
and
severe
decrease
of
visual
acuity
.
The
patient
was
surgically
treated
with
functional
endoscopic
sinus
surgery
(
FESS
)
after
the
response
of
a
maxillofacial
computed
tomography
scans
that
showed
a
pansinusitis
complicated
by
a
left
orbital
cellulites
.
Numerous
colonies
of
Streptococcus
pyogenes
were
found
in
the
samples
of
pus
and
an
antibiotic
therapy
with
meropenem
was
initiated
on
the
basis
of
the
sensitivity
test
to
antibiotics
.
The
patient
was
finally
discharged
with
diagnosis
of
left
orbital
cellulites
with
periorbital
abscess
,
endophtalmitis
and
acute
pansinusitis
as
a
consequence
of
streptococcal
pharyngitis
.
The
case
highlights
the
possible
unusual
complication
of
a
group-
A
streptococcal
pharyingitis
in
a
immunocompetent
child
and
the
needing
of
a
prompt
surgical
and
medical
approach
toward
the
maxillofacial
complications
associated
to
the
infection
.
Diseases
Validation
Diseases presenting
"functional endoscopic sinus surgery"
symptom
acute rheumatic fever
lamellar ichthyosis
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