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Publication
Celulite Periorbitária e Orbitária: casuística de 11 anos
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Advisor(s)
Abstract(s)
RESUMO
Introdução: As celulites da região orbitária são uma patologia
relativamente comum, em idade pediátrica, com um potencial
de gravidade estimável.
Objetivos: A presente casuística tem como objetivo a revisão
da epidemiologia, etiologia e abordagem terapêutica dos
casos de celulite da região orbitária internados no Serviço de
Pediatria do Centro Hospitalar Tondela-Viseu (CHTV), no período
de 11 anos.
Material e Métodos: Estudo retrospetivo dos processos clínicos
de crianças internadas entre Janeiro de 2000 e Dezembro
de 2010.
Resultados: Das 93 crianças internadas, 94% foram celulites
periorbitárias (CPO) e 6% celulites orbitárias (CO). A média de
idades foi de seis anos e o sexo masculino predominante (61%).
O traumatismo foi a causa conhecida mais comum (12 %). O
cefuroxime foi o antibiótico de primeira linha em 84% dos casos
que, na sua maioria, evoluíram favoravelmente. Verificaram-se
complicações em cinco dos seis doentes com CO (83%). Não
se verificaram óbitos. A maioria foi orientada para o médico de
família.
Conclusões: Destaca-se a importância do reconhecimento
de uma CPO vs CO pela necessidade de diferentes abordagens
clínicas e maior incidência de complicações nas últimas.
ABSTRACT Introduction: Cellulitis of the orbital region are a common pediatric illness, which can be potentially severe. Objectives: The present study reviews the epidemiology, etiology and therapeutic approach of cases of cellulitis of the orbital region admitted at the Pediatric Department of Hospital Center Tondela-Viseu (CHTV), in 11 years. Material and Methods: Retrospective analysis of the clinical records of children admitted between January 2000 and December 2010. Results: Of the 93 children admitted, 94% had periorbital cellulitis (POC) and 6% orbital cellulitis (OC). The average age was six years and they were predominantly male (61%). Trauma was the most common known cause (12%). Cefuroxime was the first line antibiotic in 84% of cases, and the majority had a good outcome. There were complications in fi ve of the six patients with OC (83%). There were no deaths. The majority were referred to their family doctor. Conclusions: We highlight the importance of the distinction between POC vs OC, as they require different clinical approaches. OC is associated with a higher incidence of complications.
ABSTRACT Introduction: Cellulitis of the orbital region are a common pediatric illness, which can be potentially severe. Objectives: The present study reviews the epidemiology, etiology and therapeutic approach of cases of cellulitis of the orbital region admitted at the Pediatric Department of Hospital Center Tondela-Viseu (CHTV), in 11 years. Material and Methods: Retrospective analysis of the clinical records of children admitted between January 2000 and December 2010. Results: Of the 93 children admitted, 94% had periorbital cellulitis (POC) and 6% orbital cellulitis (OC). The average age was six years and they were predominantly male (61%). Trauma was the most common known cause (12%). Cefuroxime was the first line antibiotic in 84% of cases, and the majority had a good outcome. There were complications in fi ve of the six patients with OC (83%). There were no deaths. The majority were referred to their family doctor. Conclusions: We highlight the importance of the distinction between POC vs OC, as they require different clinical approaches. OC is associated with a higher incidence of complications.
Description
Keywords
Celulite orbitária doenças da órbita criança adolescente Orbital cellulitis orbital diseases child adolescent
Citation
Nascer e Crescer 2013; 22(3): 158-161