Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report

Area of Science:

• Ophthalmology
• Neurology
• Dentistry

Background:

• Orbital cellulitis is a serious condition requiring prompt diagnosis and intervention.
• Odontogenic infections are a potential source of orbital cellulitis.

Observation:

• A 55-year-old male presented with symptoms of orbital cellulitis, including eye swelling and blurred vision.
• The patient had generalized periodontitis, suggesting an odontogenic source.
• Initial imaging revealed orbital cellulitis with intracranial abscesses.

Findings:

• Despite intensive antibiotic therapy for six weeks, the patient developed worsening intracranial abscesses and signs of meningism.
• The patient ultimately succumbed to the infection eight weeks after presentation.
• This case highlights the potential for fatal intracranial complications from odontogenic orbital cellulitis.

Implications:

• A high index of suspicion is vital for diagnosing orbital cellulitis and its severe complications.
• Early surgical intervention should be considered for orbital cellulitis cases unresponsive to antibiotic treatment.
• Interdisciplinary collaboration between ophthalmology, neurology, and dentistry is essential for optimal patient outcomes.