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08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Infantile maxillary sinus osteomyelitis mimicking orbital cellulitis
Nagarajan Krishnan1, Nathan Ramamoorthy2, Suresh Panchanathan2
1Department of Radiology, Chettinad Hospital & Research Institute, Kanchipuram, Tamil Nadu, India.
Journal of Global Infectious Diseases
|September 6, 2014
Summary
Osteomyelitis of the maxilla is rare in children. This case highlights a rare presentation of maxillary osteomyelitis in an infant with periorbital swelling and purulent nasal discharge.
Area of Science:
- Pediatric infectious diseases
- Maxillofacial pathology
Background:
- Periorbital swelling can stem from orbital or adjacent sinonasal inflammation.
- Maxillary osteomyelitis is uncommon in pediatric patients, especially with antibiotic availability.
Observation:
- An 11-month-old infant presented with periorbital swelling and purulent nasal discharge.
- Computed Tomography revealed maxillary sinus wall erosions, indicating osteomyelitis.
Findings:
- Staphylococcus aureus was identified from sinus scraping cultures.
- Intravenous cloxacillin treatment led to clinical improvement.
Implications:
- This case underscores the importance of considering maxillary osteomyelitis in infants with fever and periorbital swelling.
- Early diagnosis and treatment are crucial for favorable outcomes in rare pediatric infections.
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