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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
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated