Research Article | | Peer-Reviewed

Epidemiology and Management of Orbital Cellulitis Complicated by Cerebrospinal Disease

Received: 30 November 2022     Accepted: 26 December 2022     Published: 9 January 2023
Views:       Downloads:
Abstract

Orbital cellulitis is defined as an inflammation of the cellulo-fatty tissue of the orbit. Consecutive to an attack by an infectious agent, they are responsible for serious ocular, venous and especially cerebral complications. Cerebral or intracranial complications are responsible for 5 to 25% of mortality cases. The objective was to reveal the seriousness of cerebral complications of orbital cellulitis to contribute to better patient care in our context. Observation: We report three cases of orbital cellulitis received in ophthalmological consultation whose evolution was marked by the occurrence of cerebral complications which involved the functional and vital prognosis of patients. Discussion: Brain damage from orbital cellulitis is rare but remains the most serious complication. Computed tomography confirms the diagnosis. Their management is multidisciplinary and requires close collaboration between ophthalmologists, radiologists, otolaryngologists, and neurosurgeons. It must be rapid and adapted because the delay in consultations and patient care explains the evolution of the pathology towards these fatal outcomes. Orbital cellulitis is an ophthalmological emergency whose medical management should not suffer from any delay. Conclusion: Orbital cellulitis are rare but serious pathologies and responsible for many complications, particularly cerebral. Antibiotic therapy associated with rapid surgical management can considerably improve the vital and functional prognosis.

Published in European Journal of Preventive Medicine (Volume 11, Issue 1)
DOI 10.11648/j.ejpm.20231101.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Orbital Cellulitis, Diagnosis, Emergencies, Treatment

References
[1] KONAN AJ, BERETE CR, ABA KABA YK, OUFFOUE GYK, KOUASSI L J, SALAMI A, KOUAKOU S, FANNY A. Epidemio-clinical and evolutionary aspects of orbital cellulitis in the ophthalmology department of the University Hospital of Treichville. SOAO Review, 2018; 02: 20-6.
[2] DAOUDI A, AJDAKAR S, RADAA N, DRAISS G, HAJJI I, BOUSKRAOUI M. Cellulites orbitaires et périorbitaires de l’enfant. Profil épidémiologique, clinique, thérapeutique et évolutif. JFO. 2016, 39: 609-14.
[3] JORDANA F, FRONTY Y, BARBREL P. Relations pathologiques oeil-dent: Point de vue du stomatologiste et de l’odontologiste. Encyclopédie Médico Chirurgicale 22-039-B-15 (2004).
[4] KAHLOUN R, ABROUG N, ABDESSALEM NB, KSIAA I, JELLITI B, ZAOUALI S et al. Les infections orbitaires: à propos de 28 cas. La Tunisie Médicale 2015; 93 (11): 673-7.
[5] BELGHMAIDI S, BELHOUCHA B, HSSAINE K, IBTISSAM H, ROCHDI Y, NOURI H et al. Les cellulites orbitaires: étude prospective à propos de 75 cas. The Pan African Medical Journal. 2015; 22: 340.
[6] BAE C, BOURGET D. Periorbital cellulitis. [Updated 2020 Jan 21] In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Availbable from: https://www.ncbi.nlm.nih.gov/books/ NBK 470408/.
[7] BENNANI J. Contribution of computed tomography in orbital cellulitis. Neurological Review, 2016; 172 (1): 32.
[8] OUAISSI L, EL KHIATI R, SERGHINI S, ABADA R, ROUADI S, MAHTAR M et al. Les infections orbitaires: à propos de 7 cas. Pan Afri- can Medical Journal. 2014; 19: 11.
[9] BELFAQUIR L, BARHMI I, TAZI N, R ABADA, ROUADI S, ROUBAL M, MAHTAR M. Orbital abscess secondary to maxillary sinusitis in children: about a case. Researchfr, 2015; 2: 1391.
[10] AILAL F, BOUSFIHA A, JOUHADI Z, BENNANI M, ABID A. Orbital cellulitis in children about a retrospective study of 33 cases. Med Too, 2004; 64: 359-62.
[11] MOURIAUX F, RYSANEK B, BABIN E, CATTOIR V. Les cellulites orbitaires. Journal français d'ophtalmologie 2012, 35 (1): 52-57.
[12] BILE PEFK, ZEGBEH NEK, DIOMANDE GF, DIABATE Z, ORY OAD, KOFFI KFH et al. Epidém iologie et prise en charge des cellulites orbitaires en ophtalm ologie pédiatrique dans la région de Bouaké. Médecine d’Afrique Noire • 2020; 67 (5): 258-8.
[13] VROH BTS, DIOMANDE IA, DIABATE Z, KOUASSI-NDJEUNDO JE, ADJE YA, DIOMANDE G et al. Oculo-orbital complications of sinusitis at the University Hospital of Bouaké. Black African Medicine, 2019; 66 (4): 210-15.
[14] ZEGBEH NEK, KONE-KAMATE R, BOKA L, TRAORE I, HARDING-KABA MB, CREZOIT GE. Diffusion thoracique des cellulites péri-maxillaires. Afr. Biomed, 2017, 22 (4): 64-9.
[15] WANE AM, BA EA., NDOYE-ROTH PA., KAMENI A., DEMEDEIROS ME., DIENG M., and al. A Senegalese experience of orbital cellulitis. J Fr Ophthalmol, 2005; 28 (10): 1089-94.
[16] KANGNI AN, NGOUONI BG, OBA A, MBITSI – NGOMAA H. Cellulites maxillo-facial expressions in children: Analysis of 33 observations. Rev Odonto-Stomatol. Afr. chir. Maxillofac, 2007; 14 (2): 49-53.
Cite This Article
  • APA Style

    Diomande, G. F., Bile, P. F. E. K., Koffi, K. F., Djiguimde, P. W., Goule, A. M., et al. (2023). Epidemiology and Management of Orbital Cellulitis Complicated by Cerebrospinal Disease. European Journal of Preventive Medicine, 11(1), 1-5. https://doi.org/10.11648/j.ejpm.20231101.11

    Copy | Download

    ACS Style

    Diomande, G. F.; Bile, P. F. E. K.; Koffi, K. F.; Djiguimde, P. W.; Goule, A. M., et al. Epidemiology and Management of Orbital Cellulitis Complicated by Cerebrospinal Disease. Eur. J. Prev. Med. 2023, 11(1), 1-5. doi: 10.11648/j.ejpm.20231101.11

    Copy | Download

    AMA Style

    Diomande GF, Bile PFEK, Koffi KF, Djiguimde PW, Goule AM, et al. Epidemiology and Management of Orbital Cellulitis Complicated by Cerebrospinal Disease. Eur J Prev Med. 2023;11(1):1-5. doi: 10.11648/j.ejpm.20231101.11

    Copy | Download

  • @article{10.11648/j.ejpm.20231101.11,
      author = {Gosse François Diomande and Philippe France Emile Koffi Bile and Kouassi Franck-Herman Koffi and Pierre Windinmanegde Djiguimde and Ange Mickael Goule and Liliane Ella Gode and Raheemotu Llahi Opeyemi Babajeyu and Manmi Sianou Marie Pascaline Konan and Zana Diabate and Yves Ouattara and Ibrahim Abib Diomande},
      title = {Epidemiology and Management of Orbital Cellulitis Complicated by Cerebrospinal Disease},
      journal = {European Journal of Preventive Medicine},
      volume = {11},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ejpm.20231101.11},
      url = {https://doi.org/10.11648/j.ejpm.20231101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20231101.11},
      abstract = {Orbital cellulitis is defined as an inflammation of the cellulo-fatty tissue of the orbit. Consecutive to an attack by an infectious agent, they are responsible for serious ocular, venous and especially cerebral complications. Cerebral or intracranial complications are responsible for 5 to 25% of mortality cases. The objective was to reveal the seriousness of cerebral complications of orbital cellulitis to contribute to better patient care in our context. Observation: We report three cases of orbital cellulitis received in ophthalmological consultation whose evolution was marked by the occurrence of cerebral complications which involved the functional and vital prognosis of patients. Discussion: Brain damage from orbital cellulitis is rare but remains the most serious complication. Computed tomography confirms the diagnosis. Their management is multidisciplinary and requires close collaboration between ophthalmologists, radiologists, otolaryngologists, and neurosurgeons. It must be rapid and adapted because the delay in consultations and patient care explains the evolution of the pathology towards these fatal outcomes. Orbital cellulitis is an ophthalmological emergency whose medical management should not suffer from any delay. Conclusion: Orbital cellulitis are rare but serious pathologies and responsible for many complications, particularly cerebral. Antibiotic therapy associated with rapid surgical management can considerably improve the vital and functional prognosis.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Epidemiology and Management of Orbital Cellulitis Complicated by Cerebrospinal Disease
    AU  - Gosse François Diomande
    AU  - Philippe France Emile Koffi Bile
    AU  - Kouassi Franck-Herman Koffi
    AU  - Pierre Windinmanegde Djiguimde
    AU  - Ange Mickael Goule
    AU  - Liliane Ella Gode
    AU  - Raheemotu Llahi Opeyemi Babajeyu
    AU  - Manmi Sianou Marie Pascaline Konan
    AU  - Zana Diabate
    AU  - Yves Ouattara
    AU  - Ibrahim Abib Diomande
    Y1  - 2023/01/09
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ejpm.20231101.11
    DO  - 10.11648/j.ejpm.20231101.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20231101.11
    AB  - Orbital cellulitis is defined as an inflammation of the cellulo-fatty tissue of the orbit. Consecutive to an attack by an infectious agent, they are responsible for serious ocular, venous and especially cerebral complications. Cerebral or intracranial complications are responsible for 5 to 25% of mortality cases. The objective was to reveal the seriousness of cerebral complications of orbital cellulitis to contribute to better patient care in our context. Observation: We report three cases of orbital cellulitis received in ophthalmological consultation whose evolution was marked by the occurrence of cerebral complications which involved the functional and vital prognosis of patients. Discussion: Brain damage from orbital cellulitis is rare but remains the most serious complication. Computed tomography confirms the diagnosis. Their management is multidisciplinary and requires close collaboration between ophthalmologists, radiologists, otolaryngologists, and neurosurgeons. It must be rapid and adapted because the delay in consultations and patient care explains the evolution of the pathology towards these fatal outcomes. Orbital cellulitis is an ophthalmological emergency whose medical management should not suffer from any delay. Conclusion: Orbital cellulitis are rare but serious pathologies and responsible for many complications, particularly cerebral. Antibiotic therapy associated with rapid surgical management can considerably improve the vital and functional prognosis.
    VL  - 11
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire; Ophthalmology Department, University Hospital Center, Bogodogo, Ouagadougou, Burkina Faso

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bogodogo, Ouagadougou, Burkina Faso

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Ophthalmology Department, University Hospital Center, Bouaké, Côte d´Ivoire

  • Sections