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Emergency Medicine Journal 2004;21:240-242; doi:10.1136/emj.2002.004051
© 2004 BMJ Publishing Group Ltd and the College of Emergency Medicine.

CASE REPORT

Periorbital swelling: the important distinction between allergy and infection

P W A Goodyear1, A L Firth1, D R Strachan1, M Dudley2

1 Department of Otolaryngology, Bradford Royal Infirmary, Bradford, UK
2 Department of Accident and Emergency, Airedale General Hospital, Steeton, West Yorkshire, UK

Correspondence to:
Correspondence to:
MrD R Strachan
Department of Otolaryngology, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK; drstrachan{at}aol.com

ABSTRACT

Orbital cellulitis and abscess formation are rare complications of sinusitis, however acute orbital inflammation is secondary to sinusitis in about 70% of cases. Delay in diagnosis must not occur to avoid serious complications such as blindness and life threatening intracranial sepsis. A case is reported in which despite late referral, emergency surgical intervention was sight saving.

Keywords: orbital cellulitis; allergic eye; early diagnosis


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  • Armstrong, P A R, Nichol, N M (2006). An eye for trouble: orbital cellulitis. Emerg. Med. J. 23: e66-e66 [Abstract] [Full Text]  
  • Brown, A F T (2004). Anaphylaxis gets the adrenaline going. Emerg. Med. J. 21: 128-129 [Full Text]  

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