<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Odontogenic inflammation in humans can spread to adjacent anatomical structures, causing pathological changes that are dangerous to health and, in some cases, life. In this paper, we present an unusual case of odontogenic orbital cellulitis caused by both <italic>Lactobacillus rhamnosus</italic> and <italic>Enterococcus avium</italic>, which resulted in blindness of the eye in a 25-year-old man. Orbital cellulitis is more common in children due to the relative immaturity of their immune systems whereas it is rare in adults – in most cases, it occurs as a complication of paranasal sinusitis. An accurate diagnosis requires not only a thorough clinical examination but also appropriate imaging tests (such as a computed tomography or nuclear magnetic resonance test). Successful treatment largely depends on the earliest possible implementation of pharmacological therapy. In cases where it is justified, surgical procedures to decompress and drain the abscess should also be considered. However, in the case described in this publication, the patient did not regain vision in the affected eye despite the implementation of both intensive pharmacological treatment and surgical treatment, probably due to ischemic optic neuropathy and central retinal artery occlusion caused by severe infraorbital oedema.</p>
</abstract>

Odontogenic inflammation in humans can spread to adjacent anatomical structures, causing pathological changes that are dangerous to health and, in some cases, life. In this paper, we present an unusual case of odontogenic orbital cellulitis caused by both Lactobacillus rhamnosus and Enterococcus avium, which resulted in blindness of the eye in a 25-year-old man. Orbital cellulitis is more common in children due to the relative immaturity of their immune systems whereas it is rare in adults – in most cases, it occurs as a complication of paranasal sinusitis. An accurate diagnosis requires not only a thorough clinical examination but also appropriate imaging tests (such as a computed tomography or nuclear magnetic resonance test). Successful treatment largely depends on the earliest possible implementation of pharmacological therapy. In cases where it is justified, surgical procedures to decompress and drain the abscess should also be considered. However, in the case described in this publication, the patient did not regain vision in the affected eye despite the implementation of both intensive pharmacological treatment and surgical treatment, probably due to ischemic optic neuropathy and central retinal artery occlusion caused by severe infraorbital oedema.

Odontogenic orbital cellulitis in a young man with complete vision loss – a case report

Hospital of the Ministry of Interior, Department of Maxillofacial Surgery

Pomeranian Medical University in Szczecin, Department of Biochemistry and Medical Chemistry

Pomeranian Journal of Life Sciences

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Odontogenic inflammation in humans can spread to adjacent anatomical structures, causing pathological changes that are dangerous to health and, in some cases,...

Odontogenic orbital cellulitis in a young man with complete vision loss – a case report

Publié en ligne: 07 janv. 2021

Pages: 41 - 45

DOI: https://doi.org/10.21164/pomjlifesci.746

Mots clés
odontogenic orbital cellulitis, odontogenic inflammation, vision loss,

© 2020 Maciej Sikora et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Odontogenic orbital cellulitis in a young man with complete vision loss – a case report

Publié en ligne: 07 janv. 2021

Pages: 41 - 45

DOI: https://doi.org/10.21164/pomjlifesci.746

Mots clésodontogenic orbital cellulitis, odontogenic inflammation, vision loss,

© 2020 Maciej Sikora et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
odontogenic orbital cellulitis, odontogenic inflammation, vision loss,