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Pediatric viral orbital cellulites secondary to H1N1 infection: A case report

K S Smitha1, Ajinkya Vivekrao Deshmukh1, Fairooz P Manjandavida1

  • 1Prabha Eye Clinic and Research Centre and Vittala International Institute of Ophthalmology, Bangalore, Karnataka, India.

Indian Journal of Ophthalmology
|June 27, 2019
PubMed

Insights

A rare case of pediatric orbital cellulitis linked to H1N1 influenza is presented. Prompt oseltamivir treatment led to rapid improvement, preventing serious complications.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatrics

Background:

  • Orbital cellulitis is a serious infection that can lead to vision loss and other complications.
  • While bacterial infections are the most common cause, viral infections can also lead to orbital cellulitis.

Observation:

  • A 10-year-old boy presented with high-grade fever and pneumonia, progressing to preseptal and orbital cellulitis.
  • The patient's condition did not improve with standard intravenous antibiotics.

Findings:

  • Testing revealed the boy was positive for the H1N1 influenza virus.
  • Initiation of oseltamivir resulted in a dramatic resolution of orbital cellulitis within 24 hours.

Implications:

  • This case highlights a rare presentation of pediatric orbital cellulitis secondary to systemic H1N1 infection.
  • Early diagnosis and antiviral treatment with oseltamivir are crucial for managing H1N1-related orbital cellulitis and preventing severe outcomes.

Keywords:
H1N1orbital cellulitesoseltamivirpreseptalswine flu

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