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Celulitis orbitaria - Treatment

Tratamiento:

El paciente generalmente necesita permanecer en el hospital. El tratamiento incluye antibióticos administrados por vía intravenosa. Puede ser necesaria una cirugía para drenar el absceso o aliviar la presión en el espacio de la órbita alrededor y por detrás del ojo.

Una infección de celulitis orbitaria puede progresar muy rápidamente, por lo que se debe examinar al paciente con cuidado con intervalos de pocas horas.

Expectativas (pronóstico):

Con tratamiento oportuno, la persona se puede recuperar por completo.

Complicaciones:

Trombosis del seno cavernoso
Hipoacusia
Septicemia o infección en la sangre
Meningitis
Daño al nervio óptico y pérdida de la visión

Situaciones que requieren asistencia médica:

La celulitis orbitaria es una emergencia que requiere tratamiento inmediato. Llame al médico si hay signos de inflamación del párpado, especialmente con fiebre.

Anatomía del ojo

Reviewed last on: 7/28/2010
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Wald ER. Periorbital and orbital infections. In: Long SS, ed. Principles and Practice of Pediatric Infectious Diseases. 3rd ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2008:chap 89.

Olitsky SE, Hug D, Smith LP. Orbital infections. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 633.

Durand ML. Periocular infections. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 114.

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