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Published on: February 6, 2021
Periocular infection
1Oculoplastic and Orbital Surgery Service, Wills Eye Institute, Philadelphia, Pennsylvania 19107, USA.
Purpose Of Review:
The aim of this article is to acquaint the clinician with advances in the diagnosis and management of periocular cellulitis and to alert physicians to emerging pathogens.
Recent Findings:
The most important, recent infectious disease entity to consider is community-acquired methicillin-resistant Staphylococcus aureus, which is emerging as a significant problem across the country. The potential devastation caused by necrotizing fasciitis is also reviewed, since this diagnosis is easily missed early in its course. A variety of less common and frankly atypical pathogens is presented to remind the clinician that, on occasion, the hoofbeats are indeed a zebra's.
Summary:
Periocular cellulitis remains an important and common entity in ophthalmology. The emergence of new pathogens and the resistance to conventional treatment by others are a cause for concern and require an understanding of management strategies.
Insights
Periocular cellulitis requires updated management strategies due to emerging pathogens like community-acquired methicillin-resistant Staphylococcus aureus. Clinicians must be aware of less common infections and necrotizing fasciitis to ensure timely diagnosis and treatment.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Periocular cellulitis is a common ophthalmic condition.
- Understanding evolving pathogens is crucial for effective treatment.
Purpose of the Study:
- To review advances in diagnosing and managing periocular cellulitis.
- To highlight emerging pathogens and resistant strains.
Main Methods:
- Literature review of recent advancements in periocular cellulitis.
- Analysis of emerging infectious disease entities.
- Discussion of atypical pathogens and necrotizing fasciitis.
Main Results:
- Community-acquired methicillin-resistant Staphylococcus aureus is an emerging concern.
- Necrotizing fasciitis is a severe, easily missed complication.
- Atypical pathogens necessitate broader diagnostic considerations.
Conclusions:
- Periocular cellulitis remains a significant clinical challenge.
- Pathogen resistance and emergence necessitate updated management approaches.
- Vigilance for unusual presentations and resistant organisms is essential.
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