Related Experiment Video
Updated: Sep 22, 2025
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
333
A child with refractory orbital cellulitis after water pipe smoking
Dhabiah S AlQahtani1, Mohammed A Alsaif2, Naif AlSulaiman2
1King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Summary
Orbital cellulitis in children is rare from water pipe use. Dexamethasone treatment aided recovery in a child with methicillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa infection.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Orbital cellulitis is a serious infection of the eye socket, typically seen in children.
- Water pipe (shisha) smoking is an uncommon but potential route for pathogens causing head and neck infections.
Observation:
- A 3-year-old girl presented with acute orbital cellulitis symptoms including fever, eyelid swelling, pain, and proptosis.
- Symptoms persisted despite initial antibiotic treatment and surgical drainage of a subperiosteal abscess.
Findings:
- Cultures identified methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa as causative agents.
- Intravenous dexamethasone, administered in three courses over three weeks, led to gradual resolution of residual symptoms.
Implications:
- This case highlights a rare etiology of pediatric orbital cellulitis linked to water pipe consumption.
- Adjunctive dexamethasone therapy may be beneficial in managing severe pediatric orbital cellulitis, potentially shortening hospital stays and improving outcomes.
Related Concept Videos
01:17Pulmonary Cycle: Exhalation
1.8K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.8K
01:26Tonsillitis II: Management
187
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
187
01:25Suctioning the Oropharyngeal Airway
408
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
408
01:27Pneumothorax-II
395
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
395
01:30Acute Pharyngitis
1.8K
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
1.8K