Orbital cellulitis differential diagnosis: Difference between revisions
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===Infectious diseases=== | ===Infectious diseases=== | ||
Orbital cellulitis must be differentiated from other diseases that may cause inflammation, fever, and purulence, such as: | |||
*[[Periorbital cellulitis]] | *[[Periorbital cellulitis]] | ||
*[[Endophthalmitis]] | *[[Endophthalmitis]] | ||
Revision as of 14:20, 22 July 2016
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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. As such, the clinician must carefully consider the patient's history, the presenting signs and symptoms, and cross reference the following differentials:[1][2]
Infectious diseases
Orbital cellulitis must be differentiated from other diseases that may cause inflammation, fever, and purulence, such as:
- Periorbital cellulitis
- Endophthalmitis
- Severe conjunctivitis
- Herpes Zoster Ophthalmicus
- Posterior Scleritis
- Mucormycosis, Aspergilliosis of the globe
- M.tuberculosis of the globe
Vascular
- Cavernous sinus thrombosis
- Atriovenous fistula
- Orbital varices
Autoimmune/Inflammatory
- Exophthalmos
- Wegeners granulomatosis
- Sarcoidosis granuloma
- Orbital pseudotumor
Structural/Trauma
- Retrobulbar hematoma
- Mucocele
- Dermoid cyst
Toxicity
- Bisphosphanate use
Neoplastic
- 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.