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Case Reports
. 2015 May-Aug;8(2):128-31.
doi: 10.4103/0974-620X.159274.

Neonatal orbital abscess

Pratik Y Gogri  1 , Somen L Misra  1 , Neeta S Misra  1 , Hitesh V Gidwani  2 , Akshay J Bhandari  1
Affiliations
Case Reports

Neonatal orbital abscess

Pratik Y Gogri et al. Oman J Ophthalmol. 2015 May-Aug.

Abstract

Orbital abscess generally occurs in older children but it can rarely affect infants and neonates too. We report a case of community acquired methicillin resistant staphylococcus aureus (CA-MRSA) neonatal orbital abscess in a 12-day-old term female neonate with no significant past medical history or risk factor for developing the infection. The case highlights the importance of consideration of CA-MRSA as a causative agent of neonatal orbital cellulitis even in a neonate without any obvious predisposing condition. Prompt initiation of appropriate medical therapy against MRSA and surgical drainage of the abscess prevents life threatening complications of orbital cellulitis which more often tend to be fatal in neonates.

Keywords: Methicillin resistant staphylococcus aureus; neonate; orbital cellulitis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Lid edema and conjunctival chemosis of the right eye in a 12-days-old neonate at presentation (b) Increased lid swelling and proptosis after 3 days
Figure 2
Figure 2
MRI images showing marked proptosis, pre-septal and post-septal inflammatory signs along with a well-defined extraconal heterogenous mass with walling off features suggestive of orbital abscess
Figure 3
Figure 3
(a) Gradual subsidence of lid edema and proptosis post-operatively (b) Appearance of lid retraction and it spontaneous resolution
See this image and copyright information in PMC

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