Аcute sinusitis as a cause of orbit phegmon in a newborn child

Abstract

Orbital complications of varying severity caused by acute sinusitis are relatively common in pediatric practice. These complications develop depending on the anatomical features of the paranasal sinuses and eye sockets in children and immune system impairment. AIM: To present a clinical case of orbital phlegmon in a newborn child. RESULTS: A 17-day-old female infant was admitted to the Infectious Diseases Department of the Altai Regional Center for Maternal and Childhood Protection. After self-treatment, her health status did not improve; thus, she was hospitalized. After additional instrumental methods of research, the following diagnosis was made: рhlegmon of the left orbit, subperiosteal abscess on the left, and ethmoiditis with destruction on the left. A consultation of specialists (an ophthalmologist, otorhinolaryngologist, and neonatologist) determined the further management approach. CONCLUSION: Orbital complications in pediatric practice require an immediate assessment of the clinical condition by an otorhinolaryngologist and an ophthalmologist. The clinical case presented focuses on the need for an interdisciplinary approach and hospitalization in the initial disease stages to provide therapy because the infection may spread to the intracranial region.