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Medical Photograph Library
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Wednesday, May 14, 2008
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Infection
of the skin surrounding the eyesocket (Periorbital cellulitis):
A 2- year-old girl presented with fever, redness, and swelling
of the left upper eyelid. There were no visual symcptoms and the
eye was not sitting more forward than normal. The findings shown
are suggestive of acute periorbital cellulitis, or more accurately,
preseptal cellulitis, an infection confined to the soft tissues
of the eyelid. The most common bacteria involved in this infection
are the ones that cause sinusitis (Haemophilus influenzae (H flu),
Strecptococcus pneumoniae (Strep), Moraxella catarrhalis, S pyogenes);
skin flora (bacteria that live on the skin normally) from trauma
(Staphylococcus aureus/Staph and group A Strecptococcus); and those
that arise for unclear reasons (H influenzae type B, S pneumoniae).
(L.S.)
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