Intracranial abscess from facial cellulitis

Facial Cellulitis

Facing the Danger Zone: The Use of Ultrasound to Distinguish Cellulitis from Abscess in Facial Infections

Physical exam alone is often insufficient to determine whether or not cellulitis is accompanied by an abscess. Bedside ultrasound can be a valuable tool in ruling out suspected abscess by allowing direct visualization of a fluid collection. The proximity of the infection to adjacent structures can also be determined, thus aiding clinical decision making. Patients with cellulitis near the eye an...

Orbital Cellulitis and Abscess

A seven-year-old male presented with fever, left-sided facial redness, swelling and proptosis over a 24-hour period. He had noted left-sided toothache and rhinorrhea over the preceding week. On presentation, he stated that he was unable to see " anything, including light " from his left eye. On physical examination, the patient was febrile with left periorbital swelling and significant left-sid...

Pneumococcal facial cellulitis in children.

OBJECTIVE To review the epidemiology and clinical course of facial cellulitis attributable to Streptococcus pneumoniae in children. DESIGN Cases were reviewed retrospectively at 8 children's hospitals in the United States for the period of September 1993 through December 1998. RESULTS We identified 52 cases of pneumococcal facial cellulitis (45 periorbital and 7 buccal). Ninety-two percent ...

Otogenic intracranial abscess.

Middle ear is separated from middle cranial fossa by thin plate of bone known as tegmen tympani and from the sigmoid sinus by sinus plate. The chronic middle ear disease such as granulation or Choesteotoma can errode tegmen tympani or posteriorly the sinus plate and lead to intracranial complications. The most important to otolaryngologist is the brain abscess and sinus thrombophlebitis. Any pa...