Foresee Your Next Patient-Subperiosteal Abscess

摘要

A 3-year-old boy was brought to the emergency department with left eye swelling, which had doubled in size since it appeared the day before, and purulent crusting (A). On the first day of the swelling, the child was evaluated at another facility and given the diagnosis of periorbital contusion, conjunctivitis, and left otitis media for which erythro-mycin ophthalmic ointment and oral ce-furoxime were prescribed. On admission, the child was afe-brile. Treatment with intravenous nafcil-lin and ceftriaxone was started. Over the next 24 hours, the swelling and redness around the eye increased. There was slight proptosis and some limitation of all ranges of eye movement.