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Orbital abscesses caused by Fusobacterium necrophorum
Monica Ralli1, Mehryar Taban, Ronald Mancini
1Department of Ophthalmic Plastic and Reconstructive Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California 90095, USA.
Abstract:
The authors describe 2 cases of young men who presented with pansinusitis and Fusobacterium necrophorum orbital abscesses. The first patient had a complicated clinical course including epidural abscess formation and meningitis. He underwent surgical evacuation of the abscesses and sinus drainage and required long-term broad spectrum antibiotic therapy with full recovery. The second patient had a clinical course complicated by F. necrophorum septicemia. He required surgical evacuation of the abscess, sinus drainage, and long-term broad-spectrum antibiotic therapy and has remained asymptomatic since. F. necrophorum may be emerging as an increasingly prevalent pathogen in orbital abscesses and can portend a more aggressive clinical course where early surgical intervention may be prudent.
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