Preseptal Cellulitis Questions & Answers

Updated: Mar 10, 2021
  • Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Edsel B Ing, MD, MPH, FRCSC, PhD, MA  more...
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Questions & Answers

Overview

What is preseptal (periorbital) cellulitis?

How does preseptal (periorbital) cellulitis compare to postseptal (orbital) cellulitis?

How is preseptal (periorbital) inflammation classified?

What information should be provided to patients with preseptal (periorbital) cellulitis?

What causes of preseptal (periorbital) cellulitis?

What are the most common organisms that cause preseptal (periorbital) cellulitis?

What is the role of Haemophilus (H) influenzae type b (Hib) in the etiology of preseptal (periorbital) cellulitis?

What is the role of biological warfare in the etiology of preseptal (periorbital) cellulitis?

Which eyelid lesions are associated with preseptal (periorbital) cellulitis?

Which systemic diseases are associated with preseptal (periorbital) cellulitis?

What is the incidence of preseptal (periorbital) cellulitis in hospitalized patients the US?

What age group is most commonly affected by preseptal (periorbital) cellulitis?

What is the prognosis of preseptal (periorbital) cellulitis when treated promptly?

What are the morbidities of preseptal (periorbital) cellulitis?

Which features of preseptal (periorbital) cellulitis are associated with a worse prognosis?

What is the prognosis of preseptal (periorbital) cellulitis in immunocompromised patients?

Presentation

What are the signs and symptoms of preseptal (periorbital) cellulitis?

When should foreign body be considered in patients with suspected preseptal (periorbital) cellulitis?

When should necrotizing fasciitis be considered in patients with suspected preseptal (periorbital) cellulitis?

Why is a complete ocular exam indicated in suspected preseptal (periorbital) cellulitis?

What should be included in the physical exam for suspected preseptal (periorbital) cellulitis?

What are the signs of orbital involvement in preseptal (periorbital) cellulitis?

How should the ocular fundus be examined in patients with preseptal (periorbital) cellulitis?

DDX

Which conditions should be considered in the differential diagnosis of preseptal (periorbital) cellulitis?

What are the differential diagnoses for Preseptal Cellulitis?

Workup

What is the role of blood cultures in the workup of preseptal (periorbital) cellulitis?

What samples should be sent for culture in the workup of preseptal (periorbital) cellulitis?

Which lab study is indicated when necrotizing fasciitis is suspected in the workup of preseptal (periorbital) cellulitis?

Which imaging studies are indicated in the workup of preseptal (periorbital) cellulitis?

Which procedures are indicated in the workup of preseptal (periorbital) cellulitis?

What are the histologic findings in preseptal (periorbital) cellulitis?

When is CT scanning indicated in the workup of preseptal (periorbital) cellulitis?

Which exam findings warrant imaging studies in the workup of preseptal (periorbital) cellulitis?

Which CT images should be included in the workup of preseptal (periorbital) cellulitis?

What are the CT scan findings in preseptal (periorbital) cellulitis?

What are the Chandler stages of orbital infection?

Treatment

How are serious complications minimized in preseptal (periorbital) cellulitis?

What is the initial antibiotic therapy for preseptal (periorbital) cellulitis?

When is surgical drainage indicated in the treatment of preseptal (periorbital) cellulitis?

Which specialist consultations are indicated in the treatment of preseptal (periorbital) cellulitis?

When is outpatient care of preseptal (periorbital) cellulitis indicated?

How can preseptal (periorbital) cellulitis be prevented?

When is transfer indicated for patients with preseptal (periorbital) cellulitis?

Medications

Which medications are used in the treatment of preseptal (periorbital) cellulitis?

Which medications in the drug class Antibiotics, Other are used in the treatment of Preseptal Cellulitis?