Preseptal Cellulitis

Preseptal Cellulitis
SYMPTOMS Lid tenderness and warmth. Possible fever.
SIGNS Lid redness and swelling.
WORK-UP Thorough history. Slit lamp examination. Lymph node check. CT scan of brain and orbits may be warranted in severe cases.
TREATMENT Oral antibiotics (typically 10-14 days): Augmentin 875/125 mg bid | Bactrim 160/800 mg bid | Doxycycline 100 mg bid
Topical antibiotics and warm compresses | In severe cases, hospitalization with IV antibiotics may be indicated.
FOLLOW-UP Every couple of days for reassessment.
ADDITIONAL LAB | TESTS CT scan of brain and orbits may be warranted in severe cases.
ETIOLOGY Trauma | insect bite | infectious spread from adjacent structures - Staphylococcus and Streptococcus species are the most common culprits | Haemophilus influenzae | herpes | fungi
DIFFERENTIAL DX Orbital cellulitis | Hordeolum | Necrotizing fasciitis | Angioedema | Insect bite | Contact dermatitis.
NOTES

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