Orbital cellulitis differential diagnosis: Difference between revisions
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==Overview== | |||
Orbital cellulitis must be differentiated from various conditions which affect the eye and present with similar symptoms, and include [[periorbital cellulitis]], [[cavernous sinus thrombosis]], and [[neoplasia]]. | |||
==Differential Diagnosis== | |||
Orbital cellulitis may share common features or present similarly to other eye diseases with significantly varying management protocols. Orbital cellulitis must be differentiated from the following:<ref name=eyewikiorbitalcellulitis>American Academy of Ophthalmology EyeWiki (2015)http://eyewiki.aao.org/Orbital_Cellulitis#Differential_Diagnosis-</ref><ref name="pmid22224014">{{cite journal| author=Lam Choi VB, Yuen HK, Biswas J, Yanoff M| title=Update in pathological diagnosis of orbital infections and inflammations. | journal=Middle East Afr J Ophthalmol | year= 2011 | volume= 18 | issue= 4 | pages= 268-76 | pmid=22224014 | doi=10.4103/0974-9233.90127 | pmc=3249811 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22224014 }} </ref> | |||
===Infectious diseases=== | |||
Orbital cellulitis must be differentiated from other diseases that may cause [[erythema]], [[fever]], and [[edema]], such as: | |||
*[[Periorbital cellulitis]] | |||
*[[Endophthalmitis]] | |||
*Severe [[conjunctivitis]] | |||
*[[Herpes zoster|Herpes Zoster Ophthalmicus]] | |||
*[[Scleritis|Posterior Scleritis]] | |||
*[[Zygomycosis|Mucormycosis]], | |||
*[[Aspergillosis]] of the globe | |||
*[[Mycobacterium tuberculosis|''M.tuberculosis'']] of the globe | |||
===Vascular=== | |||
Orbital cellulitis must be differentiated from other diseases that may cause [[proptosis]], [[edema]], and [[visual disturbance]], such as: | |||
*[[Cavernous sinus thrombosis]] | |||
*[[Arteriovenous fistula]] | |||
*[[Varices|Orbital varices]] | |||
===Autoimmune/Inflammatory=== | |||
Orbital cellulitis must be differentiated from other diseases that may cause [[inflammation]], [[proptosis]], and [[visual disturbance]], such as: | |||
*[[Exophthalmos]] | |||
*[[Wegener's granulomatosis]] | |||
*[[Sarcoidosis]] [[granuloma]] | |||
*Orbital pseudotumor | |||
===Structural/Trauma=== | |||
Orbital cellulitis must be differentiated from other diseases that may cause [[edema]], [[visual disturbance]], and [[proptosis]], such as: | |||
*[[hematoma|Retrobulbar hematoma]] | |||
*[[Mucocele]] | |||
*[[Dermoid cyst]] | |||
===Toxicity=== | |||
Orbital cellulitis must be differentiated from other diseases that may cause [[proptosis]] such as: | |||
*[[Bisphosphonate]] use | |||
===Neoplastic=== | |||
Orbital cellulitis must be differentiated from other diseases that may cause [[erythema]], [[edema]], [[fever]], [[visual disturbance]], and [[proptosis]], such as: | |||
*[[Metastatic carcinoma]] | |||
*[[Neurofibroma]] | |||
*[[Schwannoma]] | |||
*[[Glioma]] | |||
*[[Retinoblastoma]] | |||
*[[Rhabdomyosarcoma]] | |||
*[[Neuroblastoma]] | |||
*[[Lymphoma]] | |||
*[[Leukemia]] | |||
*[[Histiocytosis]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Disease]] | |||
[[Category:Ophthalmology]] | |||
[[Category:FinalQCRequired]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 23:26, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
Orbital cellulitis must be differentiated from various conditions which affect the eye and present with similar symptoms, and include periorbital cellulitis, cavernous sinus thrombosis, and neoplasia.
Differential Diagnosis
Orbital cellulitis may share common features or present similarly to other eye diseases with significantly varying management protocols. Orbital cellulitis must be differentiated from the following:[1][2]
Infectious diseases
Orbital cellulitis must be differentiated from other diseases that may cause erythema, fever, and edema, such as:
- Periorbital cellulitis
- Endophthalmitis
- Severe conjunctivitis
- Herpes Zoster Ophthalmicus
- Posterior Scleritis
- Mucormycosis,
- Aspergillosis of the globe
- M.tuberculosis of the globe
Vascular
Orbital cellulitis must be differentiated from other diseases that may cause proptosis, edema, and visual disturbance, such as:
Autoimmune/Inflammatory
Orbital cellulitis must be differentiated from other diseases that may cause inflammation, proptosis, and visual disturbance, such as:
- Exophthalmos
- Wegener's granulomatosis
- Sarcoidosis granuloma
- Orbital pseudotumor
Structural/Trauma
Orbital cellulitis must be differentiated from other diseases that may cause edema, visual disturbance, and proptosis, such as:
Toxicity
Orbital cellulitis must be differentiated from other diseases that may cause proptosis such as:
- Bisphosphonate use
Neoplastic
Orbital cellulitis must be differentiated from other diseases that may cause erythema, edema, fever, visual disturbance, and proptosis, such as:
- Metastatic carcinoma
- Neurofibroma
- Schwannoma
- Glioma
- Retinoblastoma
- Rhabdomyosarcoma
- Neuroblastoma
- Lymphoma
- Leukemia
- Histiocytosis
References
- ↑ American Academy of Ophthalmology EyeWiki (2015)http://eyewiki.aao.org/Orbital_Cellulitis#Differential_Diagnosis-
- ↑ Lam Choi VB, Yuen HK, Biswas J, Yanoff M (2011). "Update in pathological diagnosis of orbital infections and inflammations". Middle East Afr J Ophthalmol. 18 (4): 268–76. doi:10.4103/0974-9233.90127. PMC 3249811. PMID 22224014.